Credentialing Coordinator

ISLAND PEER REVIEW ORGANIZATION INC•Jericho, NY

74d•$28 - $30•Onsite

About The Position

In this role you will be responsible for all activities associated with onboarding and credentialing of Clinical Reviewers, specifically for IPRO’s VHA Peer Review Contract. Duties include but are not limited to the processing of provider applications and re-applications; reviewing and loading information into the database tracking system to ensure high-quality standards are maintained and compliant with all regulatory and organizational standards. This position is based in the Jericho, NY office.

Requirements

Exceptional written and verbal communication skills, with a demonstrated commitment to accuracy and attention to detail.
Strong interpersonal and relationship-building abilities, with the capacity to effectively engage and collaborate with internal and external stakeholders at all organizational levels.
Highly developed organizational and time-management skills, with the ability to prioritize competing responsibilities and manage multiple assignments concurrently.
Demonstrated ability to maintain a professional, courteous, and positive demeanor in all interactions.
Capable of working independently with minimal supervision while contributing effectively within a collaborative team environment.
Advanced computer proficiency, including extensive experience with Microsoft Office applications (Word, Excel, Access, and PowerPoint).
Strong database management capabilities, including querying and document generation.
Proven ability to ensure the accuracy, integrity, and quality of reports, records, and data.
Comprehensive understanding of healthcare and credentialing processes, including the importance of maintaining confidentiality and safeguarding sensitive information.
Associate degree in healthcare administration, business, or related field, required.
A minimum of three (3) years of work experience in a healthcare setting with multiple project responsibilities, required.
Two (2) years of credentialing experience, especially with government organizations, required.

Nice To Haves

Bachelor’s degree in healthcare administration, business, or related field, preferred.

Responsibilities

Coordinate, prepare, submit, and monitor initial credentialing and recredentialing applications for all Clinical Reviewers, including the VHA Federal Personal Identity Verification (PIV) card process.
Submit applications to the Credentialing Verification Organization (CVO), collaborate with IPRO’s Credentialing Coordinator, and provide ongoing follow-up to ensure timely completion of all credentialing requirements.
Maintain and manage provider records within electronic databases and credentialing platforms.
Generate queries, reports, and documentation while identifying opportunities to improve operational efficiency and data integrity.
Ensure provider files remain fully compliant with URAC standards, applicable state and federal regulations, contractual obligations, and organizational policies.
Monitor and track the expiration of critical credentials and documentation, including state licenses, CPR certifications, malpractice and liability insurance, and other required credentials.
Facilitate timely renewals to ensure uninterrupted compliance.
Serve as the primary point of contact among Clinical Reviewers, Medical Directors, and internal departments to resolve discrepancies, streamline onboarding activities, and support credentialing processes.
Provide timely assistance regarding applications, documentation requirements, appointments, and PIV card access and facilitation.
Coordinate and facilitate ongoing Credentialing Committee meetings involving internal stakeholders, external partners, clinical team members, and Medical Directors.
Prepare meeting materials, document outcomes, and support follow-up activities as required.
Provide support for recruitment, onboarding, and related departmental initiatives as assigned.