MetaSense Inc · 1 week ago
Credentialing Specialist
Summit, NJ
Full-time
Onsite
New Grad, Entry Level
$0/hr - $34/hrMetaSense Inc is a company focused on healthcare credentialing services, and they are seeking a Credentialing Specialist to manage the verification and compliance of healthcare providers. The role involves ensuring that all providers meet regulatory requirements, maintaining accurate records, and facilitating communication between various stakeholders.
Human Resources
Responsibilities
Verification of Credentials Confirm that healthcare providers (e.g., physicians, nurses, therapists) have valid and current licenses, certifications, education, and training. Verify board certifications, malpractice history, and work experience
Compliance and Regulatory Oversight Ensure all providers meet the requirements of regulatory agencies, hospitals, and insurance networks. Maintain compliance with standards from organizations such as The Joint Commission (TJC) or NCQA
Enrollment and Privileging Manage applications for providers to be enrolled with insurance payers (so they can bill for services). Handle the hospital privileging process, which authorizes providers to perform specific procedures within a facility
Record Maintenance Maintain accurate and up-to-date credential files for each provider. Track expiration dates for licenses, certifications, and re-credentialing timelines
Communication and Coordination Act as a liaison between providers, HR, medical staff offices, and payers. Communicate with state licensing
Enforce regulatory compliance and quality assurance Prepare and maintain reports of credentialing activities such as accreditation, membership or facility privileges Ensure that all information meets legal, federal and state guidelines when processing applications Responsible for carrying out various credentialing processes in relation to physicians and allied health practitioners Process applications for initials applicants as well as reappointments (approximately 125-200 quarterly) Collect and process significant amounts of verification and accreditation information Maintain and update accurate information in the Echo database (includes education, training, experience, licensure) Prepare material for Credentials Committee meeting, MEC as well as Board of Trustees meeting Sets up and maintains provider information in Echo Maintains confidentiality of provider information Ensure compliance with the Bylaws at each location as it pertains to the credentialing process Schedule, and on occasion attend and take minutes for site based medical staff department meetings Process and collect dues for the site based medical staff Compiles and maintains current and accurate data for all providers Sets up and maintains provider information in online credentialing database Tracks license and certification expirations for all providers Maintains confidentiality of provider information All other duties as assigned
Qualification
Required
Knowledge of the credentialing process required
Ability to organize and prioritize work and manage multiple priorities
Excellent verbal and written communication skills
Ability to research and analyze data
Ability to work independently
Ability to establish and maintain effective working relationships
Excellent computer skills
Company
MetaSense Inc
ONE OF THE FASTEST GROWING HEALTHCARE PLACEMENT TEAMS IN THE COUNTRY MetaSense, Inc.™ is a service-driven, Inc 5000 award-winning talent & technology company located in West Berlin, NJ, with offices in West Berlin, NJ and Philadelphia, PA.
Founded in 1999Voorhees, New Jersey, US
51-200 employeesH1B Sponsorship
MetaSense Inc has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (11)
2024 (17)
2023 (11)
2022 (13)
2021 (18)
2020 (5)
Funding
Current Stage
Growth StageLeadership Team
John Hunter
Chief Operating Officer
Company data provided by crunchbase