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**Req Number** 170972

Job Description

Assures the credentialing of healthcare providers is conducted in accordance with organizational policies, operational procedures, and applicable governmental and regulatory agency regulations and standards. Performs activities associated with verification, tracking inquiries, and follow-up on problems which may delay completion of the file.

Job Responsibility

Obtains source verification of credentials in accordance with prevailing policies and procedures.

Tracks responses and follows-up on items not received within established cycle periods.

Reviews completed files with management in accordance with established schedules.

Maintains credential records.

Produces management reports regarding operations performance and/or provider credentialing status for internal management and external providers using the health system's verification services.

Adheres to operating policies and procedures including delivery of completed work and use of resources.

Initiates correspondence to providers, users, health plans and others as necessary to obtain requisite credentialing information.

Informs management regarding the status of departmental operations and provider credentialing issues of concern.

Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

Associates degree required, or equivalent combination of education and related experience.

1-3 years of relevant experience, required.

Ability to interpret and explain policy, procedure and regulations, highly preferred.

Ability to identify urgent matters and pivot accordingly, highly preferred.

Ability to understand legalese writing, highly preferred.

Excellent communication skills, highly preferred.

Excellent computer skills, highly preferred.

Shift Details: Monday- Friday, 8am-4pm (some flexibility with hours is needed)

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

The salary range for this position is $47,476-$75,012/year

It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.