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Credentialing Specialist

Medix
locationSloan, NY, USA
PublishedPublished: 6/14/2022
Healthcare
Full Time

Job Description

Job DescriptionCredentialing Specialist (Remote) - Contract-to-Hire

Hiring through Medix | Supporting one of New York State's largest health systems



Key Details

  • Job Title: Credentialing Specialist

  • Location: 100% Remote

  • Employment Type: Contract-to-Hire (5 months / 800 hours)

  • Pay Rate: $20.00 - $24.00 per hour

  • Schedule: Flexible 8-hour shift between 7:00 AM - 6:00 PM EST, Monday-Friday

  • Training: 8:00 AM - 4:30 PM EST (first week)

  • Start Date: March 23rd or later

  • Equipment: Provided by client (fully refundable $300 deposit at $30/week for first 10 weeks)

  • Benefits: Health, Dental, Vision, 401(k), Weekly Pay through Medix



Position Overview

Medix is hiring a Credentialing Specialist to support provider enrollment and credentialing operations for one of New York State's largest and most reputable health systems. This role ensures providers are properly credentialed, enrolled with payers, and compliant with all regulatory and accreditation requirements.

This is a fully remote, contract-to-hire opportunity offering long-term growth within a leading healthcare organization.



Key Responsibilities

  • Coordinate with physicians, managed care teams, medical staff offices, and leadership to obtain credentialing documentation

  • Perform primary source verification to ensure compliance with regulatory and organizational standards

  • Manage payer credentialing and re-credentialing processes with commercial and government insurance carriers

  • Prepare, review, and submit credentialing and enrollment applications

  • Maintain accurate provider credentialing databases, including licensure, certifications, training, and education

  • Serve as liaison between medical staff, vendors, and IT to ensure accurate provider information in credentialing systems

  • Perform ongoing provider database audits to ensure accuracy and compliance

  • Ensure compliance with regulatory standards including HIPAA, NCQA, CMS, Joint Commission, HCQIA, and state requirements



Required Qualifications

  • 1+ year of healthcare credentialing experience

  • Strong understanding of payer enrollment and credentialing processes

  • Knowledge of credentialing compliance and regulatory standards

  • Strong attention to detail and organizational skills

  • Ability to work independently in a remote environment



Preferred Qualifications

  • Experience with Epic and/or Medent EMR systems

  • Experience credentialing providers for hospitals or large health systems



Contract-to-Hire Benefits Through Medix

During your 5-month (800-hour) contract period, you will receive:

  • Health, Dental, and Vision Insurance options

  • 401(k) Retirement Plan eligibility

  • Weekly direct deposit

  • Dedicated Talent Consultant for ongoing support and career guidance

  • Opportunity for permanent hire with one of New York State's top health systems

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Company DescriptionHere at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

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