Remote
Job Description;
Noor Staffing Group is seeking an individual to join our Provider Services team as Credentialing Coordinator.
The responsibilities of this position include but are not limited to performing most tasks related to credentialing new providers, including document collection and verification, and provider credentialing file maintenance. Also, ensure that all credentialing supporting documentation is confidential and maintained in a secure environment. As well as assisting facilities and providers in understanding and adhering to our client's policies and procedures regarding the credentialing process.
M- F 9 AM to 5 PM
Key Responsibilities:
1. Maintain communication with the credentialing contacts at facilities and provider sites to coordinate receipt of the information required for credentialing, re-credentialing, and updating of provider credentialing information
2. Review the provider-credentialing file for completion and presentation to the Credentialing Committee
3. Perform primary source verification on required elements and in accordance with the policies and procedures
4. Data entry and upkeep of provider information in the credentialing database
5. Verify New York State OPMC and Medicare/Medicaid for any current sanctions, restrictions on licensure, and limitations on the scope of practice on all credentialed providers in interim credentialing periods
6. Generate and disseminate monthly provider credentialing updates to appropriate departments and participating facilities and providers
7. Create, copy, file, and maintain all relevant documentation in the provider credentialing folder
8. Perform annual delegated file audits and participate in pre-delegation and delegation site reviews
9. Respond to inquiries relative to a provider’s credentialing status
10. Performs other related tasks as directed by the Director of Provider Services and the Credentialing Manager
