Credentialing Specialist - Contract/Temp - Hybrid schedule - Bronx

Job Description

Job Description

Job description:

MUST have CREDENTIALING experience - required!

Very strong data entry and technical skills - a plus!

Coordinate all credentialing activities to ensure provider participation with Healthcare organization. Ensure provider compliance with credentialing standards.

JOB RESPONSIBILITIES:

• Coordinate provider credentialing process to increase efficiency and ensure that credentialing deadlines are met.
• Research and solve credentialing/re-credentialing delays & issues with enrollment in a timely manner.
• Manage confidential information of internal staff (Physicians, Nurse Practitioners).
• Ensure demographic updates are reviewed and verified for processing.
• Ensure the database is kept accurate and updated.
• Maintain necessary logs, lists, records, and current documentation required for physician/provider credentialing and re-credentialing to ensure requirements are met in a timely manner.
• Prepare documents for Credentialing Committee review.
• Outreach to provider for information verification and miscellaneous inquiries, i.e. provider portal access, nursing home documentation, medical records retrieval, etc.
• Provide productivity and issues reports for Management.
• Remain current on policies affecting provider credentials and enrollment processes.

Education:

Associates/Bachelor ’s Degree, and/or equivalent work experience- preferred

HS Diploma / GED required

• REQUIRED: Provider Credentialing
• A minimum of 2+ years of credentialing experience from healthcare organization, not insurance claims company
• Preferred: Credentialing in a Healthplan setting.
• Microsoft Office/Suite Proficient (Excel, Outlook, Word, etc.)-
• Highly Organized.
• Able to multitask efficiently and effectively.
• Solid problem solving and time management skills.
• Have the ability to review and draft correspondence in email and word processing systems.
• Professional, Friendly, and Skillful Communication Skill Set

Company Description

About RSC Healthcare

Launched in 2018, RSC Healthcare is an RSC Solutions company created to focus on recruiting and staffing across all positions in the healthcare industry. Our knowledgeable staff brings multiple decades of experience within the healthcare industry to assist clients in attaining the highest quality talent in the marketplace.

By leveraging RSC Healthcare’s extensive database and experienced recruiting team for candidate healthcare positions, our clients realize both substantial cost-savings and a streamlined, efficient process. We provide staffing for all levels and positions across your organization, including:

Registered Nurses
Physical/Occupational Therapists
Certified Nursing Assistants
Radiology Technicians
All skilled medical and allied health professionals

As a leader in the healthcare staffing industry, it is our goal is to connect patients with quality caregivers. Our experienced team and industry knowledge allow RSC Healthcare to deliver the qualified healthcare professionals our clients need.

Company Description

About RSC Healthcare\r\n\r\nLaunched in 2018, RSC Healthcare is an RSC Solutions company created to focus on recruiting and staffing across all positions in the healthcare industry. Our knowledgeable staff brings multiple decades of experience within the healthcare industry to assist clients in attaining the highest quality talent in the marketplace.\r\n\r\nBy leveraging RSC Healthcare’s extensive database and experienced recruiting team for candidate healthcare positions, our clients realize both substantial cost-savings and a streamlined, efficient process. We provide staffing for all levels and positions across your organization, including:\r\n\r\nRegistered Nurses\r\nPhysical/Occupational Therapists\r\nCertified Nursing Assistants\r\nRadiology Technicians\r\nAll skilled medical and allied health professionals\r\n\r\nAs a leader in the healthcare staffing industry, it is our goal is to connect patients with quality caregivers. Our experienced team and industry knowledge allow RSC Healthcare to deliver the qualified healthcare professionals our clients need.