Credentialing Specialist

Overview

At Essen Health Care, we care for that!


As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women's health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program.


Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!

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, able to multitask and manage time effectively and provide administrative support to the Delegation team within the Credentialing Department.

Responsibilities

• Review credentialing application for completeness and log any missing documentation
• Critically evaluate application for any issues that may require special consideration, or additional review, and take appropriate action to resolve issue
• Perform primary source verification of credentials
• Notify Supervisor and Associate Director of any red flags, in a timely manner
• Coordinate with appropriate credentialing onboarding staff to obtain required information from provider
• Prepare payment requests for required verification fees
• Participate in the timely preparation of files for the monthly Credentialing Committee meetings, Delegated Credentialing audits, on site audits and desktop audits
• Perform self-audits to ensure data integrity of provider files
• Implement proper maintenance of files (digital and hard copies)
• Complete other tasks or projects as assigned
• Provide back-up to other Credentialing staff as necessary

Qualifications

• Bachelor's Degree in a Health-Related Discipline: Public Health, Healthcare Administrative, Health Service, Psychology or Sociology Highly Preferred
• High School Diploma Required
• Minimum of at least six months in a healthcare setting: providing clerical support or medical credentialing assistance. Preferably 1-2 years of relevant office / credentialing experience.
• Superior interpersonal skills to effectively interact with various levels of group practice leadership, as well as health care providers.
• Ability to communicate and process highly confidential information and exercise proper judgment and discretion in performing duties.
• Exceptional organizational, analytical and written and verbal communication skills.
• Proficient with MS Office (outlook, word, excel, power point, access)
• Excellent time-management skills.
• Knowledge of practitioner credentialing procedures and standards.
• Working knowledge of clinical operations and procedures.
• Informational research skills.

$22.00-$25.00 an hour

Equal Opportunity Employer

Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.