Credentialing Assistant

Credentialing Assistant

Location : Upper East Side Org Unit : PO Based Operations Anesthesiology Work Days : Monday-Friday Weekly Hours : 35.00 Exemption Status : Non-Exempt Salary Range : $28.96 - $32.03

Position Summary

Under general supervision, provides credentialing support for hospital privileging, payor enrollment, licensing, and general data entry.

Job Responsibilities

• Assists with the Medicare, Medicaid, and Commercial payor application process for eligible Department of Anesthesiology providers. Ensures accuracy of forms submitted to the Weill Cornell Medicine Managed Care Office and resolves issues as they arise.
• Coordinates and ensures timely, accurate, and efficient delivery of enrollment documentations to the WCM Managed Care Office via email, interoffice delivery, or Fed Ex.
• Tracks provider enrollment and participation status to ensure active statuses with payors. Updates internal databases with enrollment statuses.
• Serves as a liaison between faculty, and external customers to facilitate enrollment objectives. Coordinates updates to NPI registries.
• Assists with new hospital privileging requests, leaves of absence, and offboarding. Provides data entry for hospital reappointment tasks.
• Assists providers with application for licensure and tracks licensure active status. Ensures clinician files are up to date.
• Completes data entry and submits new provider profile requests to the EPIC security team. Assists with scheduling new provider EPIC training.
• Receives and sorts credentialing mail.
• Performs other related duties as assigned

Education

High School Diploma

Experience

Approximately 1-2 years of related experience, preferably in an academic medical center.

Knowledge, Skills and Abilities

Ability to exercise standards of professionalism, including appearance, presentation and demeanor. Ability to demonstrate excellent customer service skills in person, via email and on the telephone. Maintains a team-oriented approach and always demonstrates integrity and good work ethics. Understands the needs to be responsible for our own outcomes and takes pride in delivering the best possible work product. Maintains a flexible and forward-thinking approach to the way work is done. Approaches our job knowing that there are internal and external customers whose expectations we strive to exceed. Demonstrated strong communication and interpersonal skills.

Licenses and Certifications

Working Conditions / Physical Demands

Standard office work

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