Credentialing Coordinator (Hybrid) - ZipRecruiter : Job Details

Credentialing Coordinator (Hybrid)

Location: New York, NY 10017 Schedule: MondayFriday, 9:00 AM 5:00 PM

• Hybrid (2 days onsite required Thursdays mandatory) Assignment Duration: 13 Weeks (Contract Possibility of Extension) Pay Rate: $24.00 $26.00/hour (Weekly Pay)

Job Summary:

We are seeking a detail-oriented and organized Credentialing Coordinator to join our healthcare team in New York, NY. This role is responsible for managing and maintaining provider credentialing and re-credentialing processes in compliance with regulatory standards.

Key Responsibilities:

• Communicate with facilities and provider sites to collect and coordinate credentialing/re-credentialing documentation
• Perform primary source verifications according to regulatory standards
• Maintain and update provider information in credentialing databases
• Review and prepare complete credentialing files for Credentialing Committee review
• Verify provider licenses (NYS), DEA registration, OPMC, Medicare/Medicaid sanctions, and other regulatory elements
• Generate and share monthly provider credentialing updates and rosters with internal departments and external partners
• Respond to credentialing information requests and manage credentialing documentation
• File and maintain provider credentialing folders and ensure confidentiality
• Reconcile provider rosters across delegated and contracted facilities

Qualifications:

Required:

• High School Diploma or GED
• Experience with provider credentialing
• Strong organizational and communication skills
• Proficiency with Microsoft Office (Word, Excel, Outlook)
• Ability to work independently and meet deadlines

Preferred:

• Bachelors Degree
• Knowledge of Healthcare credentialing policies
• Experience with CACTUS credentialing software

Work Location:

• Hybrid schedule based in New York, NY 10017
• Must be available onsite Thursdays + 1 additional day per week

Company Description:

Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.