Credentialing Coordinator - Russell Tobin : Job Details

Russell Tobin & Associates is currently seeking a Credentialing Coordinator to work for our client in the eyewear industry. Apply now for consideration!

Contract

Location: New York, NY

Pay Range: 24-28/hr depending on experience

Responsibilities:

• Support the overall provider credentialing and re-credentialing processes while maintaining standard turn-around times.
• Ensure credentialing and re-credentialing files are initiated on time and progress according to standards.
• Monitor the participating provider network for credentialing/re-credentialing deficiencies and take necessary action per policies and procedures.
• Terminate providers who do not comply with credentialing standards.
• Prepare and execute outbound communications related to credentialing events.
• Research discrepancies related to provider information.
• Support the preparation of weekly rosters to present providers for committee approvals/denials.
• Support credentialing audits by pulling files and preparing them for presentation to external clients.
• Obtain missing information from various sources to ensure providers maintain compliance with network standards.
• Execute reports to review and update provider information and provide status updates to management.
• Prepare reports on the status of credentialing activities.

Basic Qualifications

• High School Diploma
• 2-3 years of business experience in healthcare provider credentialing
• Proficiency in Microsoft Office products (Word, Excel, Access)
• Excellent written and verbal communication skills
• Ability to work independently, under pressure, and handle multiple tasks effectively
• Capability to manage multiple projects simultaneously while managing time efficiently

Preferred Qualifications

• Associate or Bachelor s Degree
• Understanding of the credentialing/provider industry
• Demonstrated sense of urgency in task completion
• Experience with operating systems such as EDW/Business Objects

Russell Tobin / Pride Global offers eligible employee s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.