Credentialing Specialist (Summit) Job at Pride Health, Summit, NJ

ZnFxb1ZWMVVFd0hzRStSQUw5dlJMNklyalE9PQ==
  • Pride Health
  • Summit, NJ

Job Description

Position Overview

Title: Credentialing Specialist

Location: Summit, NJ 07901, and Hackettstown, NJ 07840

Schedule: 8:00 AM - 4:00 PM.

Duration: 13 weeks with a high possibility of extension

Pay Rate: $27 - $30/Hr W2

Job Description

The Credentialing Specialist ensures all healthcare providers meet regulatory, organizational, and accreditation standards. This role processes high-volume credentialing applications, verifies provider qualifications, and maintains accurate records in the Echo database.

Key Responsibilities

  • Process and review 125200 initial and reappointment applications quarterly.
  • Verify education, training, licensure, certifications, malpractice history, and work experience.
  • Maintain provider records in Echo; track license and certification expirations.
  • Prepare credentialing files for Credentials Committee, MEC, and Board of Trustees meetings.
  • Ensure compliance with federal/state regulations, bylaws, and standards such as TJC/NCQA.
  • Coordinate with providers, medical staff offices, HR, and insurance networks.
  • Maintain confidentiality and support medical staff meeting scheduling and minutes.

Skills & Qualifications

  • Knowledge of credentialing processes and regulatory standards.
  • Strong organizational, communication, and analytical skills.
  • Ability to manage multiple priorities and work independently.
  • Proficiency with Echo and general computer systems.

Job Tags

Part time, Work experience placement,

Similar Jobs

VM Memorial Arts and Design Studio

Entry-Level Illustrators & Graphic Designers (Long-Term & Festive Projects) Job at VM Memorial Arts and Design Studio

 ...Were seeking creative and motivated entry-level illustrators and graphic designers to join our team for long-term collaborations, especially during the festive season and on commission-based projects. About the Work Our projects cover a wide range of design and art... 

Reyes Holdings

Warehouse Order Selector Job at Reyes Holdings

+ Annual pay increases until you reach top pay of $27.78/hour+ PM shift differential: +$0.25/hour+ Paid weekly+ Wage Progression Plan + Attendance Incentive Program - Eligible for up to $400 bonus each quarter, which equals up to $1,600 per year! Position Responsibilities... 

Chemical Manufacturing Company, Inc.

Chemical Plant Operator Job at Chemical Manufacturing Company, Inc.

 ...Job Description Job Description Chemical Plant Operator Industrial Manufacturing (Confidential Employer) Greensboro, NC Up to $50/hr+ Full Benefits | Full-Time | Onsite Are you someone who doesnt mind getting your hands dirty? Do you take pride in doing... 

Source Medical, LLC.

Physician Neurology - Competitive Salary Job at Source Medical, LLC.

 ...in Green Bay, Wisconsin, is seeking a BC/BE General Adult Neurologist to join its growing Neurology team within a comprehensive Neuroscience Center. This hospital-employed, physician-led practice is highly respected and features an award-winning stroke program. Practice... 

All For Health,Health For All INC

Front Desk Clerk Job at All For Health,Health For All INC

 ...Our integrated, team-based model includes general family practice, pediatrics, behavioral health, mental health services, and adult day health care. In the past year alone, we served over 30,000 patients across more than 90,000 visits at a dozen clinic locations. AFH...