Credentialing Specialist (Healthcare Field) - 25-33297 Job at NavitsPartners, New York, NY

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  • NavitsPartners
  • New York, NY

Job Description

Job Title: Credentialing Specialist (Healthcare Field)

Location: New York, NY

Schedule: Monday – Friday | 9:00 AM – 5:00 PM

Employment Type: Contract (W2)

Pay Rate: $27/hour

Position Overview

The Credentialing Specialist is responsible for managing all aspects of provider credentialing and re-credentialing in a healthcare environment. This role ensures compliance with regulatory, accreditation, and organizational requirements while maintaining accurate and up-to-date provider records.

Key Responsibilities

Credentialing & Provider Management

  • Facilitate all aspects of provider credentialing, including:

    • Initial appointments

    • Reappointments

    • Credential audits

    • Clinical privileging

  • Support credentialing for Medical Staff, Allied Health Professionals, and other providers in accordance with corporate policies and medical staff bylaws

  • Provide credentialing back-up coverage for other team members as needed

License & Compliance Management

  • Ensure physician and provider licenses are renewed prior to expiration

  • Conduct Primary Source Verification (PSV) for new and existing providers

  • Interpret and comply with applicable accrediting and regulatory agency requirements

  • Maintain working knowledge of credentialing-related statutes and regulations

Systems & Records Management

  • Utilize MDStaff credentialing software to perform and monitor:

    • Credentialing checks

    • Background verifications

    • Privileging documentation

  • Maintain accurate provider files and records, ensuring all information is current

  • Use database alerts, reports, and scanned documentation tools to track credentialing status

  • Ensure consistency and accuracy in database entries to support standardized credentialing processes

Required Qualifications

  • Bachelor’s Degree – Required

  • Healthcare field experience – Required

  • Proven experience in provider credentialing and re-credentialing

  • Strong attention to detail and audit skills

  • Familiarity with credentialing software systems (MDStaff preferred)

  • Ability to manage multiple credentialing files and deadlines simultaneously

  • Strong understanding of regulatory and accreditation standards related to credentialing

Skills

  • Credentialing & Re-Credentialing

  • Primary Source Verification (PSV)

  • License Renewal Tracking

  • Compliance & Regulatory Review

  • Records Management

  • Audit & Quality Control

  • Credentialing Software (MDStaff preferred)

For more details reach at vgill@navitassols.com or Call / Text at 516-862-1203 .

Job Tags

Contract work, Monday to Friday,

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