Pride Health · 3 weeks ago
Credentialing Coordinator
New York, NY
Contract
Onsite
New Grad, Entry Level
$28/hr - $30/hrPride Health is actively hiring for the position of Credentialing Coordinator at a hospital in New York, NY. The role involves reviewing provider credentialing files, performing primary source verification, and maintaining provider information in databases.
Health CareHuman ResourcesInformation Technology
Hiring Manager
Vikram Kumar
Responsibilities
Review provider re-credentialing and credentialing file for completion and presentation to the Credentialing Committee
Perform primary source verification on required elements and in accordance regulatory guidelines and client’s policies and procedures
Data entry and upkeep of provider information in the credentialing and other pertinent databases
Verify New York State OPMC, Medicare/Medicaid lists and other pertinent databases for any current sanctions, restrictions on licensure and/or limitations on the scope of practice on all credentialed providers in interim credentialing periods
Verify New York State license registration and DEA registration status for all credentialed providers in the interim credentialing periods
Generate and disseminate monthly provider credentialing updates to appropriate departments at Client and participating facilities and provider groups
Review and respond to request for credentialing information/copies of credentialing files to appropriate departments within Client
Generate and disseminate provider rosters to delegated facilities, contracted group practices etc
Perform provider roster reconciliation
Create, copy, file, and maintain all relevant documentation into provider credentialing folder
Qualification
Required
High School diploma or High School equivalency required
Review provider re-credentialing and credentialing file for completion and presentation to the Credentialing Committee
Perform primary source verification on required elements and in accordance regulatory guidelines and client's policies and procedures
Data entry and upkeep of provider information in the credentialing and other pertinent databases
Verify New York State OPMC, Medicare/Medicaid lists and other pertinent databases for any current sanctions, restrictions on licensure and/or limitations on the scope of practice on all credentialed providers in interim credentialing periods
Verify New York State license registration and DEA registration status for all credentialed providers in the interim credentialing periods
Generate and disseminate monthly provider credentialing updates to appropriate departments at Client and participating facilities and provider groups
Review and respond to request for credentialing information/copies of credentialing files to appropriate departments within Client
Generate and disseminate provider rosters to delegated facilities, contracted group practices etc
Perform provider roster reconciliation
Create, copy, file, and maintain all relevant documentation into provider credentialing folder
Preferred
Bachelors Degree preferred
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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