Credentialing Specialist Job at Rendr, New York, NY

WHJYSUEwVVZGYnk2UUxRN0g4am01MGV6N0E9PQ==
  • Rendr
  • New York, NY

Job Description

Discover Better Health Careers with Rendr!

Who We Are

Rendr is the leading primary care focused, multi-specialty medical group dedicated to serving the Asian community in New York City. We strive to provide world-class, value-based health care with kindness at more than 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County.

Why Join Rendr?

  • Opportunities for professional growth and development.
  • Competitive salary and benefits package. (Salary is based on previous experience and years of service.)
  • Join a team that values employee, embraces diversity, and is committed to making a meaningful impact within our communities.

Benefits We Offer:

  • Medical, Dental, and Vision Insurance
  • 401k with Company Match
  • Paid Time Off
  • Paid Holidays/ Floating Holiday(s)
  • Commuter Benefits
  • Health Savings Account/ Flexible Spending Account/ Dependent Care Account
  • Annual Performance Bonus

Job Position: Credentialing Specialist

Essential Functions

  • Complete primary source verification for delegated payer contracts
  • Prepare audited credentialing files for Committee Review
  • Track provider updates and changes in accordance with all payer credentialing guidelines and NCQA standards
  • Prepare re-credentialing or updated provider files for credentialing committee review
  • Manage continuing education & training requirements from state and payers, in coordination with operations and human resources 
  • Track hospital affiliations and ensure provider completes necessary updates and renewals 
  • Review and update as needed, each assigned providers CAQH profile within the 90-day timeframe
  • Maintain working knowledge and ensure compliance with all payer requirements for documentation and credentialing standards
  • Primary payor contact, ensure all communications are initiated and responded to timely
  • Tracking and reporting all data and updates into applicable software / databases etc.
  • Assist providers, site staff, and revenue cycle management team with any issues pertaining to credentialing and provider payer enrollment
  • Participates in Health Plan meetings, as needed.
  • Perform other duties and special projects as requested by the Credentialing Director.

Qualifications

  • Bachelor’s degree
  • 4+ years related credentialing experience in a healthcare setting
  • Ability to manage competing priorities
  • Excellent time management and organizational skills
  • Strong interpersonal skills with ability to work effectively with clinical leadership and site operations
  • Ability to work in a fast-paced environment

Rendr is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

We look forward to reviewing your application and exploring the possibility of you joining our team!

Job Tags

Flexible hours,

Similar Jobs

Bon Secours Mercy Health

Nurse or care technician - medical care unit Job at Bon Secours Mercy Health

 ...PCT) provides basic health care and support to patients under the guidance of the Registered Nurse or designated healthcare professional. As part of our team, the Patient Care Tech (PCT) is responsible for sanitizing and cleaning patients rooms, monitoring patients... 

Mayo Clinic

SWMN Summer Student Nurse Internship - SNI Job at Mayo Clinic

 ...City Mankato State MN Remote NO Department Nursing Responsibilities Provide direct patient care under the direction...  ...December 2026 and June 2027. Once accepted into the Summer Internship Nursing Internship program, student interns will be required to... 

Covenant Health Inc.

Rapid access coord ii Job at Covenant Health Inc.

 ...Overview Rapid Access Coordinator, Call Center Full Time, 80 Hours Per Pay Period, Night Shift Graduate of an accredited Licensed Practical Nurse, EMT, or Paramedic program. Minimum of two years of experience in a health-related field is required. Must... 

MTSS

Phlebotomy - Phlebotomist II Job at MTSS

 ...independently with minimal on-site supervision. Excellent phlebotomy skills to include pediatric and geriatric. Flexible and available...  ...and embrace change; and knowledge of our business. Training locations may vary based on trainer availability. Required... 

GIA Legacy Planning

👩‍💻Life Insurance Agent👩‍💻 Job at GIA Legacy Planning

 ...Company: GIA Legacy Planning Location: Remote Position/Work from Home Job Type: Uncapped Commission-Based | Full-Time | Part-Time...  ...career! What We Offer: ** Work from home With a laptop/iPadand an internet connection. ** High Commission & Residual...