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Credentialing Specialist

Credentialing Specialist

Innova SolutionsMt Vernon, NY, United States
9 days ago
Job type
  • Temporary
Job description

A client of Innova Solutions is immediately hiring for a Credentialing Specialist. This is a hybrid position based in Bronx, NY.

Position : Credentialing Specialist

Location : Bronx, NY

Employment : Temp to Perm

What We're Looking For :

  • Coordinate all credentialing activities to ensure provider participation with the client.
  • Ensure provider compliance with credentialing standards.

What You'll Be Doing :

  • Oversee the provider credentialing process to enhance efficiency and meet compliance deadlines.
  • Identify and resolve credentialing or re-credentialing delays and issues in a timely manner.
  • Safeguard confidential information related to internal staff (Physicians, Nurse Practitioners).
  • Review and verify demographic updates for processing.
  • Maintain the accuracy and currency of the credentialing database.
  • Keep necessary logs, lists, and records required for physician / provider credentialing and re-credentialing.
  • Prepare documents for review by the Credentialing Committee.
  • Provide productivity and issue reports for management.
  • Stay informed about policies affecting provider credentials and enrollment processes.
  • Perform additional responsibilities as assigned.
  • Qualifications / What You Bring (Must Haves) :

  • Associate's or Bachelor's degree, and / or equivalent work experience.
  • A minimum of three (3+) years of credentialing experience.
  • Required : Provider Credentialing experience.
  • Preferred : Credentialing experience in a health plan setting.
  • Proficient in Microsoft Office Suite (Excel, Outlook, Word, etc.).
  • The Ideal Candidate Will Have : Credentialing / Re-Credentialing experience, proficiency in Excel and Word.

    Qualified candidates should APPLY NOW for immediate consideration! We are currently interviewing for this and other similar roles. If this position isn't the right fit for you, we offer a referral bonus program for successful referrals. Contact us for details.

    PAY RANGE AND BENEFITS :

    Pay Range : $23-25 per hour. The pay offered will be contingent on various factors such as education, work experience, location, specific job duties, and certifications.

    Benefits : Innova Solutions offers a range of benefits (based on eligibility) including medical & pharmacy coverage, dental / vision insurance, 401(k), health savings account (HSA), flexible spending account (FSA), life insurance, pet insurance, short-term and long-term disability coverage, accident & critical illness coverage, and employee assistance program (EAP).

    ABOUT INNOVA SOLUTIONS : Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals globally with an annual revenue approaching $3 Billion. We provide strategic technology and business transformation solutions to clients through our global delivery centers.

    Recent Recognitions :

  • Innova Solutions ranked #3 in technology staffing.
  • Combined, we ranked #13 among staffing firms nationwide.
  • Volt ranked in the engineering staffing space at #10.
  • Innova Solutions is an Equal Opportunity Employer committed to providing a work environment free of discrimination and harassment. We encourage qualified candidates to apply for employment opportunities.

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    Credentialing Specialist • Mt Vernon, NY, United States

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