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 cycleperiods.
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.
*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).
Northwell Health is New York State’s largest health care provider and private employer, with 28 hospitals, about 1,000+ outpatient facilities and more than 16,000 affiliated physicians.
At Northwell, we focus on cultivating an environment that inspires growth, empowers leadership, and encourages breakthroughs, not just in the communities we serve but in the careers of those who make an impact in the lives of so many. We are committed to our mission and our core values – including being Truly Inclusive. We value everyone’s perspectives, backgrounds and experiences. This is demonstrated in the work we do together, and how we care for each other, our patients, their families and the communities we serve.
We care for over two million people annually in the New York metro area and beyond, thanks to philanthropic support from our communities. Our 100,000+ employees – 19,000+ nurses and 5,000+ employed doctors, including members of Northwell Health Physician Partners – are working to change health care for the better.
We’re making breakthroughs in medicine at The Feinstein Institutes for Medical Research. We're training the next generation of medical professionals at the visionary Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and the Hofstra Northwell School of Nursing and Physician Assistant Studies.
For information on our more than 100 medical specialties, visit Northwell.edu and follow us @NorthwellHealth on Facebook, X, Instagram and LinkedIn.
Interested in a career at Northwell Health? Visit Jobs.Northwell.edu and explore our many opportunities.
