Join to apply for the Credentialing Specialist role at CarePoint Health System Continue with Google Continue with Google 2 days ago Be among the first 25 applicants Join to apply for the Credentialing Specialist role at CarePoint Health System Get AI-powered advice on this job and more exclusive features. Sign in to access AI-powered advices Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google About Us CarePoint Health is one of New Jersey's leading health care systems comprised of three long-standing and highly-regarded hospitals – Bayonne Medical Center, Christ Hospital, and Hoboken University Medical Center. CarePoint united these three area hospitals to provide 360 degree coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey, and each year provides care to over 300,000 individuals. About Us CarePoint Health is one of New Jersey's leading health care systems comprised of three long-standing and highly-regarded hospitals – Bayonne Medical Center, Christ Hospital, and Hoboken University Medical Center. CarePoint united these three area hospitals to provide 360 degree coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey, and each year provides care to over 300,000 individuals. CarePoint prides itself on its patient-focused approach to care delivery, with an emphasis on preventative medicine, health education, and disease management. Leveraging its vast network of physicians and healthcare experts, CarePoint is quickly becoming recognized as a leader in the broader healthcare landscape as it pioneers creative solutions to address urgent population health needs. What You'll Be Doing The successful candidate will be able to: Under the supervision of the MSO Manager of the area, responsible for credentialing and recredentialing practitioners as well as enrollment with participating client health plans. Credentialing functions include, but are not limited to, processing credentialing applications, following up with payers, and updating and maintaining the CAQH data base. As well as following applicable state and federal requirements for Medicare and Medicaid. Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility. Conducts thorough background investigation, research and primary source verification of all components of the application file. Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up. Prepares credentials file for completion other healthcare organizations, ensuring file completion within time periods specified. Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing issues as they arise. Utilizes the Cactus credentialing database, optimizing efficiency, and performs query, report and document generation; submits and retrieves National Practitioner Database reports in accordance with Health Care Quality Improvement Act. Monitors the initial, reappointment and expirable process for all medical staff, Allied Health Professional staff, Other Health Professional staff, and delegated providers, ensuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, federal and state), as well as Medical Staff Bylaws, Rules and Regulations, policies and procedures, and delegated contracts. Performs miscellaneous job-related duties as assigned. What We're Looking For Degree in business or health related field desired. Previous experience in a Credentialing position required. CPMSM and/or CPCS Certification by the National Association Medical Staff Services required or obtained within two years of employment. Affiliation with the National Association Medical Staff Services and the State Association Medical Staff Services strongly encouraged. Must have excellent organizational, time management, customer service and oral & verbal communications skills Ability to focus on detail while responding to multiple tasks simultaneously and work effectively in a goal-oriented team environment Must be able to maintain confidentiality of proprietary information related to all aspects of the position, hospital, medical staff and allied health professional staff Excellent interpersonal skills, including the ability to communicate clearly, professionally, both verbally and in writing with a broad range of professionals and people of varying education and backgrounds. Proficiency Cactus is critical. Proficiency in data entry, typing and computer skills using a variety of software programs including Microsoft Word, Excel, Access, Outlook, PowerPoint and Cactus Willingness to maintain a flexible work schedule as needed. Ability to adapt to changing schedules, deadlines and demands, and a heavy workload What We Offer Competitive pay • Medical, dental, and vision insurance • 401k with Company match • Generous paid time off • Paid Holidays • Tuition Reimbursement • Advancement and career development opportunities Influenza Vaccinations are a requirement for employment at CarePoint Health. CarePoint Health is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law. Seniority level Seniority level Entry level Employment type Employment type Contract Job function Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at CarePoint Health System by 2x Sign in to set job alerts for “Credentialing Specialist” roles. Continue with Google Continue with Google Continue with Google Continue with Google New York, NY $60,000 - $70,000 1 month ago HSPD-12: Government Badging & Credentialing Specialist (New York - REF1610Z)** New York, NY $45,000 - $57,300 2 weeks ago HSPD-12: Government Badging & Credentialing Specialist (New York - REF1610Z)** HSPD-12: Government Badging & Credentialing Specialist (Springfield, NJ - REF1649L)** Springfield, NJ $40,800.00 - $54,500.00 2 weeks ago New York, NY $140,000.00 - $170,000.00 1 week ago Pompton Plains, NJ $30.00 - $35.00 5 days ago New York, NY $175,000 - $180,000 2 weeks ago Human Resources Representative contract in New York, NY - Make $969 - $1,199/week FIELD ELIGIBILITY VERIFICATION SPECIALIST Manhattan, NY $59,715 - $68,672 2 days ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr CarePoint Health System
...self, and live a full life. Youll also have access to: Career development with an international company where you can grow the career you... ...complex systems including experience with Web applications or App Development Projects/Programs Digital Experience in Medical...
...As an AT&T Retail Sales Representative Entry Level , your performance drives your success. This is not your average entry level role. Were looking for ambitious, outgoing individuals ready to make an impact in the world of B2B sales while representing one of the most...
...although not required. Additional Conditions of Employment: Candidates must pass a background investigation, which includes fingerprinting. Benefits: As an ASA, you are eligible to participate in the Countys health benefits and retirement plans. Please visit the...
...solely commission based. This is a freelancer/self employed position and not employee based. Off... ...lifestyle together. Our teamenjoys a work culture that promotes teamwork, honesty,... ...ethics. Benefits include working from home, potential for sales bonuses, tons of cute...
...encouraged to apply. \n \n \n The Practice \n HSHS St. Nicholas Hospital Sheboygan, Wisconsin \n \n ~ Level IV Trauma Center... ...surfing, boating, and fishing. \n Landmarks like the John Michael Kohler Arts Center and the Sheboygan Indian Mounds add...