Credentialing Assistant - Medicaid

Essen Medical Associates•Bronx, NY

About The Position

Overview Company Overview: Essen Health Care is a growing community healthcare network provides high quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a ‘population health’ model of care, Essen has five integrated clinical divisions offering services in primary & specialty offices, urgent care centers, and nursing homes, as well as house calls for home bound patients; all clinical services are also offered via telehealth. Our Care Management division supports patient-centered care through care coordination, complex care management and helping address health-related social needs. Founded in 1999, Essen provides care in all five boroughs of New York City, with a primary focus in the Bronx Job Summary Job Summary: The Credentialing Specialist is responsible to coordinate and assist with the day-to-day administrative functions of the Department. The selected candidate will have excellent written communication skills, able to multitask and manage time effectively and provide administrative support to the Delegation team within the Credentialing Department.

Requirements

Bachelor’s Degree in a Health-Related Discipline: Public Health, Healthcare Administrative, Health Service, Psychology or Sociology Highly Preferred, or in process
High School Diploma Required
At least one year of office administrative experience preferred

Nice To Haves

Notary a plus

Responsibilities

Efficient and timely completion of confidential Medicaid applications for provider enrollment, group affiliations, and ETIN enrollment/ maintenance.
Follow established timelines for processing and completion of applications
Critically evaluate application for any issues that may require special consideration, or additional review, and take appropriate action to resolve issue
Identify providers whom are due for ETIN recertification and escalate to supervisor appropriately
Coordinate with appropriate credentialing onboarding staff to obtain required information from provider
Perform self-audit of work to ensure data integrity before mailing applications
Document all tasks, phone calls, emails and other forms of communication during the application process.
Update rest of Medicaid team and onboarding platform once mailed
Assist to track the status of mailed applications, if needed
Provide status updates to Credentialing Department’s leadership within one business day, from receipt of request
Work with supervisor in identifying back-up coverage when out of the office
Timely and complete updates of credentialing software
Complete other related tasks or projects as assigned
Provide back-up to other Credentialing staff as necessary
Ensure providers files have up to date forms for Medicaid revalidations and yearly certifications.
Communicate with all levels of organization to obtain documentation and signatures.
Able to multitask, prioritize, and manage time efficiently
Excellent verbal and written communication skills
Strong interpersonal and communication skills with an ability to work effectively with a wide range of people, teams, managers, supervisors, and vendors.
Proficient with MS Office (outlook, word, excel, power point, access)