Credentialing Coordinator

About the role

Come lead with us at New York, NY. The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Responsibilities

• Assist the Credentialing Coordinator in the Credentialing and Recredentialing of Network Physicians by following through with requests and auditing files.
• Review files processed by external CVO or processed in-house to verify completeness.
• Contact providers to obtain information for the credentialing process.
• Create credentialing profiles and organize provider data.

Requirements

• High School diploma
• Minimum two (2) years of related experience

Qualifications

• Managed Care and/or Credentialing experience preferred

Skills

• Proficient in MS Word, Excel and E-mail applications