Credentials Associate - Manhattan

Position Summary

We have an exciting opportunity to join our team as a Credentials Associate - Manhattan. In this role, the successful candidate:

• Responsible for initiating, processing, reviewing and analyzing physician/allied health applications for reappointment in accordance with established credentialing standards.

Job Responsibilities

• Demonstrates knowledge of the organizations Service Standards and incorporates them into the performance of duties.
• Performs other clerical duties and assists staff with special projects as assigned.
• Post Committee reviews and approvals, responsible for assuring file completeness and prompt, accurate and detailed communication regarding final on-boarding of new providers.
• Maintains a high degree of discretion and trustworthiness in the handling of confidential information associated with the credentialing process.
• Reviews credential files, as assigned, in preparation for delegated credentialing and regulatory audits.
• Organizes and prepares credential files for review by management, clinical department leadership and the Credentials Committee.
• Notifies sponsoring department and staff member of progress toward completion of the verification process. Sends second and third notices to those who do not respond by the first request.
• Maintains tickler system for follow-up of unanswered correspondence in accordance with applicable credentialing standards and established procedural guidelines.
• Escalates matters of significance to management for investigation and resolution.
• Maintains electronic work sheet/checklist of activities initiated and responses received in accordance with applicable credentialing standards and established procedural guidelines.
• Internally audits, organizes and maintains provider files in accordance with established principles of legal documentation and confidentiality.
• Runs data reports for various basic configurations of data such as provider profiles, pending provider lists and expired credentials to effectively manage and monitor their reappointment applications.
• Employs public relations skills and uses discretion in a wide variety of email, phone and in person contacts with internal and external sources for purposes of soliciting information essential to the credentialing process and credentials investigations.
• Obtains Physician Profiles and assembles data to include all elements required by regulatory and accrediting agencies.
• Prepares, issues, electronically tracks and follows-up on appropriate verifications for efficient processing of each individual application in accordance with applicable credentialing standards and established procedural guidelines.
• Enters data from provider applications into Cactus database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses.
• Flags adverse information from application materials and escalates identified flags to management for the purpose of conducting special follow-up investigations in preparation for Credentials Committee review.
• Conducts primary source verification and validation of re-credentialing documents including board certification and eligibility, licensure, accreditation, work history, liability insurance and malpractice claims history.
• Affirms completeness of information and qualifications relative to credentialing standards.
• Initiates, processes, reviews and analyzes physician/allied health applications for reappointment in accordance with applicable credentialing standards and established procedural guidelines.

Minimum Qualifications

• High school graduate or the equivalent.
• Minimum of one year credentialing experience in a healthcare setting required.

Preferred Qualifications

• Medical staff office experience preferred.
• NAMSS (National Association of Medical Staff Services) credentialing certification a plus.
• Excellent verbal and written communication skills, including knowledge of credentialing.
• Excellent computer skills, scanning, including word processing and data base maintenance (Cactus Software preferred).
• Energetic and self-motivated with the ability to complete projects independently within established timeframes.
• Ability to handle multiple projects and deadlines.
• Ability to cope with interruptions, varying personalities, rush projects, and demanding medical staff.
• Able to prioritize responsibilities.
• Independent judgment and interpersonal relationship skills in working with the staff, Medical Staff leaders and other Departments in the NYU Hospitals Center.
• Qualified candidates must be able to effectively communicate with all levels of the organization.

Benefits and Wellness Package

NYU Langone Health provides a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters.

Salary Range

The salary range for the role is $50,204.70 - $75,127.50 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need.