Credentialing Specialist
Rendr
Discover Better Health Careers with Rendr! Who We Are Rendr is the leading primary care focused, multi‑specialty medical group dedicated to serving the Asian community in New York City. We strive to provide world‑class, value‑based health care with kindness at more than 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County. Why Join Rendr? Opportunities for professional growth and development. Competitive salary and benefits package. (Salary is based on previous experience and years of service.) Join a team that values employee, embraces diversity, and is committed to making a meaningful impact within our communities. Benefits We Offer: Medical, Dental, and Vision Insurance 401k with Company Match Paid Time Off Paid Holidays/ Floating Holiday(s) Commuter Benefits Health Savings Account/ Flexible Spending Account/ Dependent Care Account Annual Performance Bonus Job Position: Credentialing Specialist Essential Functions Complete primary source verification for delegated payer contracts Prepare audited credentialing files for Committee Review Track provider updates and changes in accordance with all payer credentialing guidelines and NCQA standards Prepare re‑credentialing or updated provider files for credentialing committee reviewManage continuing education & training requirements from state and payers, in coordination with operations and human resources Track hospital affiliations and ensure provider completes necessary updates and renewals Review and update as needed, each assigned providers CAQH profile within the 90‑day timeframe Maintain working knowledge and ensure compliance with all payer requirements for documentation and credentialing standards Primary payor contact, ensure all communications are initiated and responded to timely Tracking and reporting all data and updates into applicable software / databases etc. Assist providers, site staff, and revenue cycle management team with any issues pertaining to credentialing and provider payer enrollment Participates in Health Plan meetings, as needed. Perform other duties and special projects as requested by Credentialing Manager Qualifications Bachelor’s degree 4+ years related credentialing experience in a healthcare setting Ability to manage competing priorities Excellent time management and organizational skills Strong interpersonal skills with ability to work effectively with clinical leadership and site operations Ability to work in a fast‑paced environment Rendr is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We look forward to reviewing your application and exploring the possibility of you joining our team! #J-18808-Ljbffr
$70k - $90k
...financially rewarding for therapists to accept insurance and offer in‑network care. We are looking for a detail‑oriented Credentialing Specialist to own the end‑to‑end execution of our provider credentialing lifecycle. Reporting to the Credentialing Manager, you will...SuggestedWork from homeHome officeFlexible hoursShift work- ...Credentialing Specialist A leading medical center in Brooklyn is looking for a detail-oriented Credentialing Specialist to own the credentialing process from start to finish. In this role, you'll ensure that all providers are properly credentialed so the organization...Suggested
- ...Medical office seeking an experienced credentialing specialists to aid in credentialing and re-credentialing of medical providers and organizations. Duties will include: Familiarity with credentialing system (CAQH) Communicate with insurance companies to assure provider...SuggestedWork at office
- ...Eyepiceyecare in New York seeks a full-time professional to manage credentialing for all medical providers. The role involves ensuring timely renewals of licenses and certifications while maintaining accurate data and documentation. The ideal candidate should possess strong...SuggestedFull timeWork at office
$27 - $38 per hour
...precision, and a strong commitment to improving lives. Position Summary We are seeking a detail-oriented and highly organized Credentialing Specialist to join our Brooklyn office. This role is essential in maintaining compliance and ensuring that all clinical and...SuggestedHourly payFull timeWork at office- ...Learn more about us at: Position Overview We are seeking an experienced, highly organized, and detail-oriented Provider Credentialing Specialist to join our growing team at Ezra Medical Center. This position plays a critical role in ensuring healthcare providers are...Full time
$22 - $25 per hour
...Job Summary Job Summary: The Credentialing Specialist is responsible to coordinate and assist with the day-to-day administrative functions of the Department. The selected candidate will have excellent written communication skills, be able to multitask and manage time...- ...Overview Responsible for timely and accurate submission all initial hospital credentialing and payor plan enrollment for incoming providers. Responsible for timely and accurate submission all hospital recredentialing and insurance plan reenrollment for existing providers...
- ...Credentialing Specialist - Payer Enrollment & Health Plan Experience Full-Time Contract • Remote (United States) • US Citizenship Required POSITION OVERVIEW: Experienced Credentialing Specialist sought to direct end-to-end provider enrollment and credentialing operations...Full timeContract workRemote work
- ...and expanding access to evidence-based obesity care nationwide. To achieve our ambitious goals, we're looking for a Payer Credentialing Specialist to join our Operations team. This role will support all things credentialing at knownwell, and play a critical role in building...Local areaRemote workWork from home
- ...Duties/Responsibilities Credential providers, facilities, and vendors in accordance with regulations and Healthfirst policy. Prepare presentations for the quarterly credentialing and delegate vendor oversight committee meetings. Facilitate pre-delegation and delegation...Work at officeLocal area
$50k - $60k
...position reports to the Director of Payor Enrollment, Licensing & Credentialing and is responsible for assisting with all aspects of the... ...Licensing and Credentialing process. The Licensing & Credentialing Specialist will ensure efficient working operations (with a heavy focus...Temporary workWork at officeFlexible hours- ...environment for patients to receive the highest standards of outpatient surgical care for a variety of needs. Position Summary The Credentialing Specialist is responsible for coordinating, tracking, verifying, and maintaining complete and accurate credentialing files for...Work at office
- ...re highly organized, a strong communicator, and ready to make an impact, we’d love to hear from you! Position summary As a Credentialing Specialist, you’ll provide essential support to our senior management team, handling everything from complex scheduling to client...Remote work
- ...Open to all facilities (manhattan, bronx, brooklyn, queens) EXCEPT Central Office Shift Time: 9:00 AM-5:00 PM Duties: The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential...Work at officeShift work
$50k - $70k
...ensure that every senior has a partner in their mental health and wellness journey. Position Summary The Provider Enrollment & Credentialing Specialist is a vital role that ensures our clinicians are fully vetted, licensed, and panelled with insurance providers to deliver...Remote work$23 - $25 per hour
...Credentialing Specialist Join a large public healthcare system dedicated to delivering high-quality care and maintaining the highest standards in provider credentialing and compliance. This role plays a critical part in ensuring providers meet all regulatory and organizational...Hourly pay- ...career here for you. Join us in making a real difference in the health of our community. Job Summary Position Title: Credentialing Specialist Job Summary: The Credentialing Specialist is responsible to coordinate and assist with the day-to-day administrative...
$50k - $60k
...LifeMD, Inc. is seeking a Credentialing Specialist to manage the licensing and credentialing of providers. The role involves obtaining necessary licenses, verifying provider credentials, and coordinating with various departments. The ideal candidate should have a bachelor...Flexible hours- ...Overview HirePower is seeking experienced Credentialing Specialists to support healthcare facilities across New York. This onsite role is ideal for professionals with direct hospital or healthcare system experience who thrive in maintaining compliance and accuracy in provider...
$75k
...Overview & Highlights Position: Senior Provider Enrollment & Credentialing Specialist Location: Remote Schedule: Full-time; flexible scheduling options available, including 4x10s or 5x8s Compensation: $75,000 base salary Bonus: Annual bonus based on performance and profit...Full timeRemote workFlexible hours- A leading IT services provider in New York is seeking a candidate to manage the enrollment process for Personal Identity Verification (PIV) cards. The ideal applicant should have experience in customer service and administrative roles, with strong skills in Microsoft Excel...
$47.4k - $76k
...addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary The provider Credentialing Specialist is responsible for facilitating the centralized credentialing process for the company's providers, addressing all...Hourly payContract workWork at office- ...Description Evaluate, analyze, and coordinate all aspects of the credentialing and re-credentialing processes for practitioners practicing within the CAIPA Network. Provides integral support to healthcare operations by enabling timely onboarding of healthcare providers...Local areaRemote work
$48.15k - $64.92k
...QualDerm Partners LLC is hiring a Credentialing Specialist in the United States to ensure the efficient credentialing and recredentialing processes for healthcare providers. The role involves managing provider data, ensuring compliance with healthcare regulations, and...- ...overall administration of the provider enrollment process. The role requires a high school diploma and 3-5 years' experience in credentialing or enrollment. Candidates must effectively communicate both in writing and verbally, be proficient with MS Office, and be able to...
$60k - $70k
...Credentialing Specialist job at LifeMD. New York, NY. About us LifeMD is a leading digital healthcare company committed to expanding access to virtual care, pharmacy services, and diagnostics by making them more affordable and convenient for all.Focused on both treatment...Temporary work- ...a diverse and inclusive culture. Mission The mission of this role is to help coordinate and manage our Facilities and Provider credentialing within our Network Management team, its processes, and services. Support a seamless client experience and deliver on all client...Immediate startFlexible hours
- ...QualDerm Partners is looking for a Credentialing Specialist in the United States to oversee credentialing processes and ensure compliance with health plans. The role involves developing relationships with operational leaders and managing all aspects of credentialing....
- ...Altais Health Solutions is seeking a credentialing specialist to manage payer enrollment and maintain compliance with various healthcare standards. The role requires strong organizational skills and proficiency with credentialing processes, particularly for Medicare and...
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