Credentialing Coordinator - VillageCare : Job Details

Are you an experienced credentialing coordinator looking for a new challenge? Join our team at VillageCare as a Full-Time Credentialing Coordinator, where you'll have the opportunity to showcase your skills and expertise. With the flexibility of working from home, you can take control of your schedule while earning an attractive hourly rate of $28-31. Excitingly, you'll get to collaborate with a team of dedicated professionals who share a passion for delivering excellence in healthcare services. Your problem-solving abilities will be put to the test as you ensure our organization maintains the highest standards of credentialing. Apply today and be part of a customer-centric company that values integrity and professionalism. You will be provided great benefits such as a generous PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life and Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. Join us and make a meaningful impact in the health care industry! Who are we? An Introduction VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. Your role as a Credentialing Coordinator As a new Credentialing Coordinator at VillageCare, you can expect a structured schedule from Monday to Friday, allowing for a healthy work-life balance. Your day-to-day responsibilities will include managing provider credentialing processes, conducting thorough credentialing verifications, and ensuring compliance with industry regulations. You'll collaborate closely with internal teams to gather necessary documentation, resolve any credentialing issues, and maintain accurate records. Additionally, you will assist in preparing reports, updating databases, and communicating effectively with healthcare providers. This role requires keen attention to detail, excellent organizational skills, and the ability to adapt to changing priorities. With the support of our team, you'll quickly acclimate to the role and contribute to our commitment to delivering exceptional healthcare services. What matters most To excel in the role of Credentialing Coordinator at VillageCare, you must possess strong organizational skills, attention to detail, and the ability to work efficiently both independently and under the guidance of the Senior Credentialing Manager. Proficiency in utilizing software and tools to support credentialing, delegated credentialing, and vendor oversight is essential for success. You will be responsible for ensuring that contracted providers meet program and regulatory standards while maintaining compliance with NYS DOH, CMS, and NCQA requirements. Key tasks include conducting Primary Source Verification (PSV) of internal clinical staff, managing the provider portal, coordinating with Credentials Verification Organization (CVO) for practitioner credentialing, and participating in departmental audits. Your role will also involve drafting correspondence to providers, maintaining electronic files, and assisting with audits for delegated entities and IPAs. Your dedication to accuracy and timeliness will be crucial in maintaining the integrity of our credentialing processes. Get started with our team! So, what do you think? If you feel this is the right job for you, go ahead and apply! We look forward to meeting you! VillageCare is an Equal Opportunity Employer.