Credentialing Specialist
•Today
| Verified Pay check_circle | Provided by the employer$30 - $33 per hour |
|---|---|
| Hours | Full-time, Part-time |
| Location | Summit, New Jersey |
Compare Pay
Verified Pay check_circleProvided by the employer This job pays $9.29 per hour more than the average pay for similar jobs in your area.
$15.27
$22.21
$31.50
$35.2
About this job
Job Description
Job DescriptionCompany Description
Credentialing Specialist
Location: Summit, NJ
Type: Contract | Full-Time | Monday–Friday, 8:00 AM–4:00 PM
Start Date: December 15, 2025
End Date: March 14, 2026
Responsibilities
- Verify provider credentials, including education, training, licensure, certifications, and work history.
- Process initial applications and reappointments (125–200 quarterly).
- Ensure compliance with legal, federal, state, and regulatory requirements (TJC, NCQA, etc.).
- Maintain accurate provider files and data in the Echo credentialing database.
- Prepare materials for Credentials Committee, MEC, and Board of Trustees meetings.
- Track license and certification expirations and manage re-credentialing timelines.
- Coordinate with providers, medical staff offices, HR, and regulatory bodies.
- Schedule and occasionally attend medical staff department meetings; take meeting minutes as needed.
- Process and collect medical staff dues.
- Maintain strict confidentiality of all provider information.
- Perform additional duties as assigned.
Qualifications
- Knowledge of the healthcare credentialing process is required.
- Strong organizational, prioritization, and multitasking abilities.
- Excellent verbal and written communication skills.
- Ability to research, analyze, and verify data with high accuracy.
- Strong interpersonal skills and the ability to work both independently and collaboratively.
- Proficiency with computer systems; Echo credentialing system experience preferred.
Schedule
- Days: Monday–Friday
- Hours: 8:00 AM–4:00 PM (37.5 hours/week)
Mayank Gusain
Senior Associate, EST
929-220-3646 mayank.gusain@pride-health.com
420 Lexington Ave, 30th FL. • New York, NY 10170
Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Company Description
Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
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Full-time Jobs Part-time Jobs Gig Jobs Posting ID: 1188629968 Posted: 2025-11-23 Job Title: Credentiale Specialist