Credentialing Specialist Job at Rendr, New York, NY

cjJNMk9uSGQrVXdEUmZ3OVVQaDlXYVJ5NHc9PQ==
  • Rendr
  • New York, NY

Job Description

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 review
  • Manage 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 the Credentialing Director.

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!

Job Tags

Flexible hours,

Similar Jobs

The SPEAK Center for Language and Learning

Speech Language Pathology Assistant (SLPA)- Pflugerville Texas Job at The SPEAK Center for Language and Learning

 ...Overview The SPEAK Center for Language and Learning is a distinguished pediatric speech therapy company devoted to...  ...skilled Speech-Language Pathologist Assistant to join our(LOCATION)team at The...  ...'s degree in Speech-Language PathologyAssistant program or related field... 

LaFontaine Chevrolet Buick GMC of St Clair

Automotive Rental Coordinator Job at LaFontaine Chevrolet Buick GMC of St Clair

 ...LaFontaine commitment to customers, staff, and local communities is demonstrated by active participation and contributions to numerous non-profit organizations, educational institutions, and charities throughout southeast Michigan. The combination of both the mission and... 

Endurance IT Services

Audio Visual Strategic Account Manager Job at Endurance IT Services

 ...Strategic Account Manager Audio/Visual Sales This is a 100% On-site role Endurance IT Services has a client in Ashland, Virginia, seeking a results-driven Strategic Account Manager with a hunter mindset to drive new business and deliver innovative A/V solutions... 

HealthOp Solutions

Sonographer / Ultrasound Technician (Echo/Vascular) - Lake Havasu, AZ Job at HealthOp Solutions

 ...Position Title: Echo Vascular Technologist Location: Kingman, Lake Havasu, and Bullhead City, Arizona Employment Type: Full-Time Schedule: Mon - Fri (0800-1700) Work Environment: Outpatient Primary Care Clinical Settings Travel Requirement: Yes Travel... 

Delaware Nation Industries

Logistics Support (SME) - 506218 Job at Delaware Nation Industries

DNI is seeking a qualified Logistics Support Subject Matter Expert (SME) to support the 700th Air Support Squadron (700 ASUS) Air Operations Center (AOC) at Langley Air Force Base (Ryan Center). The SME will provide full-spectrum logistics and supply chain support for ...