Credentialing Specialist Job at Unizontechnology, Summit, NJ

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  • Unizontechnology
  • Summit, NJ

Job Description

Job Title: Credentialing Specialist
Location: Summit, New Jersey
Rate: $35/hour (W2)
Shift: 8:00 AM 4:00 PM EST | 37.5 hours/week
Duration: 3 Months (with potential extension)

Job Summary:

The Credentialing Specialist is responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing process for physicians and allied health providers. This role ensures compliance with regulatory standards, internal bylaws, and all federal and state guidelines.

Key Responsibilities:
  • Process initial and reappointment credentialing applications (approx. 125 200 per quarter).

  • Collect and verify credentialing data including licensure, education, training, and experience.

  • Maintain and update provider records in the Echo credentialing database .

  • Prepare credentialing files and reports for Credentials Committee, MEC, and Board of Trustees meetings.

  • Enforce regulatory compliance and ensure adherence to medical staff bylaws.

  • Schedule and, when needed, attend and take minutes for medical staff department meetings.

  • Manage provider dues and maintain accurate financial tracking for medical staff memberships.

  • Monitor license and certification expirations and follow up as needed.

  • Maintain confidentiality and security of all provider information.

  • Perform other administrative duties as assigned.

Required Skills & Qualifications:
  • Must have provider credentialing experience (not insurance credentialing).

  • Strong understanding of credentialing processes and regulatory standards.

  • Exceptional organizational and time management skills.

  • Excellent written and verbal communication abilities.

  • Ability to work independently and prioritize tasks effectively.

  • Strong research, analytical, and problem-solving skills.

  • Proficient computer skills, especially in credentialing software (preferably Echo).

Job Tags

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