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Credentialing Specialist

A leading public healthcare system serving communities across New York City is seeking an experienced Credentialing Specialist to support its credentialing department. This role is responsible for managing provider credentialing and re-credentialing activities while ensuring compliance with healthcare regulatory standards and accreditation requirements. Responsibilities: Facilitate all aspects of provider credentialing, including initial appointments, reappointments, credential audits, and clinical privileging. Support credentialing processes for Medical Staff, Allied Health Professionals, and other healthcare providers in accordance with hospital bylaws and corporate policies. Utilize MDStaff credentialing software to manage provider records and monitor credentialing and background verification processes. Perform primary source verification for providers to confirm credentials, licenses, certifications, and qualifications. Ensure physician and provider licenses are renewed prior to expiration. Maintain accurate and up-to-date provider records and credentialing files. Utilize database alerts, reports, and system tools to monitor credentialing status and documentation. Ensure data integrity and consistency within credentialing systems. Maintain knowledge of regulatory requirements, accreditation standards, and applicable statutes related to healthcare credentialing. Provide backup credentialing support for other members of the credentialing team when needed. Qualifications: Bachelor’s Degree required. Proven experience as a Credentialing Specialist within the healthcare industry. Experience credentialing physicians and healthcare providers. Strong knowledge of credentialing regulations, verification procedures, and compliance standards. Experience with credentialing systems such as MDStaff or similar credentialing software preferred. Strong organizational and documentation management skills. Ability to maintain strict data accuracy and confidentiality. Excellent communication and collaboration skills. Please note that the salary range and/or hourly rate range of $ 25.00/hour is a good faith determination of potential base compensation offered to applicants at the time of this job advertisement and may be subject to modification in the future. When determining a team member's base salary and/or hourly rate, various factors may be taken into account as applicable (such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity). For consideration to this and/or other roles suitable for your background, please submit your most up-to-date resume to join our talent pool. At ATRIA Consulting, LLC, we are a woman-owned business fully committed to promoting, cultivating, and maintaining a culture of diversity, equity, and inclusion. We embrace and celebrate differences across all demographics and backgrounds. We encourage everyone to apply.

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