Pride Health · 1 week ago
Credentialing Specialist
New York, NY
Contract
Onsite
Mid Level
$25/hr - $27/hrPride Health is a company dedicated to ensuring that healthcare providers meet necessary accreditation and regulatory standards. The Credentialing Specialist will coordinate and manage all aspects of provider credentialing and re-credentialing activities, ensuring compliance and data integrity throughout the process.
Health CareHuman ResourcesInformation Technology
Hiring Manager
Felix B.
Responsibilities
Facilitate the complete credentialing lifecycle for initial appointments, reappointments, and ongoing audits
Manage clinical privileging processes for medical staff and allied health professionals in accordance with policies, procedures, and bylaws
Perform and document primary source verification for new and existing providers
Ensure compliance with verification standards and due diligence requirements
Track and ensure timely renewal of provider licenses and certifications prior to expiration
Update provider files and databases promptly as renewals are completed
Maintain accurate, organized, and up-to-date provider credentialing files
Ensure consistency and accuracy in all credentialing database entries
Utilize software tools to monitor status alerts, run reports, and review scanned documentation
Interpret and apply standards from accrediting and regulatory agencies
Maintain working knowledge of laws, statutes, and regulations related to credentialing
Use MDStaff credentialing software (or similar systems) for data entry, tracking, and monitoring credentialing activities
Provide credentialing support for other members of the credentialing team as needed to ensure continuity of operations
Qualification
Required
Bachelor's Degree — Required
Healthcare Field Experience — Previous experience working within a healthcare environment is mandatory
Credentialing Expertise — Hands-on experience with provider credentialing and privileging
Primary Source Verification Skills — Ability to conduct and document all required verification activities
MDStaff or Equivalent Software Proficiency — Experience managing data within credentialing systems
Regulatory Knowledge — Understanding of accreditation and regulatory standards governing credentialing activities
Exceptional Attention to Detail — Ability to ensure accuracy, consistency, and data integrity
Records Management Skills — Experience maintaining comprehensive, compliant credentialing files
Backup Capability — Ability to step in for other credentialing team members when coverage is needed
Benefits
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
Employee discounts with preferred vendors
Company
Pride Health
Pride Health is a staffing and recruiting company that provides account management and staffing solutions.
Founded in 2010
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Stephanie Barnes
Scheduling Lead PHC/OPWDD
Recent News
2025-11-06
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