Credentialing Specialist Job at Rendr, New York, NY

Mzc2NTRLTElpYzUvQ2xFZWo4dHRCSFlFWkE9PQ==
  • 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

Waymo

Digital Media Lead Job at Waymo

 ...through anything from video content, to social media interactions, to immersive physical...  ...You Will Develop and execute integrated digital media strategies that unify brand and...  ...location or, if the role can be performed remote, the specific salary range for your preferred... 

Soap Creek Resources

Field Service Fabricator - J611 Job at Soap Creek Resources

 ...all weekend (10+ hours/day), return on Monday, and have scheduled days off around travel. Perform other duties as assigned by the Field Service Manager. Travel extensively, typically 3542 weeks per year, including weekend work. This role generally travels every... 

Kansas Youth Dental & Braces - a Benevis company

Registered Dental Hygienist Job at Kansas Youth Dental & Braces - a Benevis company

 ...believe that every person deserves access to quality, affordable dental care. This mission drives everything we do. With over 3000...  ...Guide parents and patients through our entire treatment process Assist with dental and perio charting; when necessary Take x-rays and save... 

Alex Parmenidez Group

Spanish Virtual Assistant Job at Alex Parmenidez Group

 ...successful real estate team based in USA, looking for a motivated **Virtual Assistant** to support sales, client communication, and lead management...  ...CRM tools, Google Workspace, and social media* Remote work setup with reliable internet **Additional Info:*** Remote... 

Join

Luxury Boutique MD — Strategy Lead, Paris Travel Job at Join

A global luxury brand is seeking a Managing Director in Short Hills, NJ, to oversee all aspects of business operations, including sales growth, team management, and client development. Candidates should have a strong background in high-volume retail, strategic planning...