Credentials Associate - Manhattan

Position Summary Credentials Associate - Manhattan. Job Responsibilities Demonstrates knowledge of the organizations Service Standards and incorporates them into the performance of duties. Performs other clerical duties and assists staff with special projects as assigned. Post Committee reviews and approvals, responsible for assuring file completeness and prompt, accurate and detailed communication regarding final on-boarding of new providers. Maintains a high degree of discretion and trustworthiness in the handling of confidential information associated with the credentialing process. Reviews credential files, as assigned, in preparation for delegated credentialing and regulatory audits. Organizes and prepares credential files for review by management, clinical department leadership and the Credentials Committee. Notifies sponsoring department and staff member of progress toward completion of the verification process. Sends second and third notices to those who do not respond by the first request. Maintains tickler system for follow-up of unanswered correspondence in accordance with applicable credentialing standards and established procedural guidelines. Escalates matters of significance to management for investigation and resolution. Maintains electronic work sheet/checklist of activities initiated and responses received in accordance with applicable credentialing standards and established procedural guidelines. Internally audits, organizes and maintains provider files in accordance with established principles of legal documentation and confidentiality. Runs data reports for various basic configurations of data such as provider profiles, pending provider lists and expired credentials to effectively manage and monitor their reappointment applications. Employs public relations skills and uses discretion in a wide variety of email, phone and in person contacts with internal and external sources for purposes of soliciting information essential to the credentialing process and credentials investigations. Obtains Physician Profiles and assembles data to include all elements required by regulatory and accrediting agencies. Prepares, issues, electronically tracks and follows-up on appropriate verifications for efficient processing of each individual application in accordance with applicable credentialing standards and established procedural guidelines. Enters data from provider applications into Cactus database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses. Flags adverse information from application materials and escalates identified flags to management for the purpose of conducting special follow-up investigations in preparation for Credentials Committee review. Conducts primary source verification and validation of re-credentialing documents including board certification and eligibility, licensure, accreditation, work history, liability insurance and malpractice claims history. Assesses completeness of information and qualifications relative to credentialing standards. Initiates, processes, reviews and analyzes physician/allied health applications for reappointment in accordance with applicable credentialing standards and established procedural guidelines. Minimum Qualifications High school graduate or the equivalent. Minimum of one year credentialing experience in a healthcare setting required. Preferred Qualifications Medical staff office experience preferred. Medical staff credentialing certification from NAMSS (National Association of Medical Staff Services) a plus. Excellent verbal and written communication skills, including knowledge of credentialing. Excellent computer skills, scanning, including word processing and database maintenance (Cactus Software preferred). Energetic and self‑motivated with the ability to complete projects independently within established timeframes. Ability to handle multiple projects and deadlines. Ability to cope with interruptions, varying personalities, rush projects, and demanding medical staff. Able to prioritize responsibilities. Independent judgment and interpersonal relationship skills in working with staff, Medical Staff leaders and other Departments in the NYU Hospitals Center. Qualified candidates must be able to effectively communicate with all levels of the organization. Benefits NYU Langone Health offers a comprehensive benefits and wellness package. Employees have access to financial security benefits, a generous time‑off program and employee resource groups. The wellness program focuses on seven key areas: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits allow employees to focus on what truly matters. Equal Opportunity NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. Salary Transparency Salary range for the role is $50,204.70 - $75,127.50 annually. Actual salaries depend on experience, education, specialty and hospital need. The range does not include bonus, incentive or other compensation. #J-18808-Ljbffr NYU Langone Health