Credentialing Manager

New York Plastic Surgical Group•Garden City, NY

5d•Onsite

About The Position

New York Plastic Surgical Group (NYPS Group) is the largest and longest-running private and academic plastic surgery practice in the United States. With more than 20 board-certified plastic surgeons practicing across 10+ affiliated offices, ambulatory surgery centers, and over 20 hospitals, NYPS Group provides expert, comprehensive, and compassionate care. Founded in 1948, NYPS Group, a division of Long Island Plastic Surgical Group, is one of the nation’s most well-established plastic surgery practices, offering patients the collective expertise of specialty-trained surgeons dedicated to achieving exceptional outcomes.

Requirements

Minimum of 4–5 years of credentialing experience in a hospital, ambulatory surgery center, or multi-site medical practice environment, including hospital privileging and reappointment processes.
Experience with hospital credentialing, privileging, and recredentialing processes.
Experience with ambulatory surgery center credentialing and privileging requirements, including American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF).
Experience with primary source verification and credentialing audits.
Experience tracking provider licensure, certifications, and Continuing Medical Education (CME).
Experience coordinating credentialing across multiple facilities and insurance payors.
Strong organizational skills and attention to detail.
Strong communication and computer skills.
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
Ability to prioritize and manage multiple deadlines.
Experience with credentialing system ReadyDoc, Nextech preferred.

Nice To Haves

Certified Provider Credentialing Specialist (CPCS) certification preferred.

Responsibilities

Process initial credentialing and recredentialing applications for healthcare providers.
Prepare and submit credentialing and privileging applications for hospitals, ambulatory surgery centers, and insurance payors.
Review, verify, and process credentialing applications, including online application submissions.
Perform primary source verification for licenses, education, training, board certification, and work history.
Track license and certification expirations to ensure timely renewals, including but not limited to state licenses, Drug Enforcement Administration (DEA), Controlled Dangerous Substances (CDS), board certifications, Continuing Medical Education (CME), Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), Pediatric Advanced Life Support (PALS), infection control, child abuse courses, and health assessment requirements.
Maintain credentialing and privileging files in compliance with American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) and hospital medical staff requirements and ensure files are audit-ready at all times.
Maintain provider information in credentialing database systems.
Maintain hospital affiliation grid on the company intranet.
Track and log Continuing Medical Education (CME) credits for providers.
Evaluate hospital usage prior to renewing existing privileges.
Coordinate with hospital medical staff offices and insurance payors to ensure timely processing of applications and renewals.
Work with Accounts Payable to ensure licensing fees, application fees, hospital dues, and medical staff dues are paid on time.
Generate credentialing reports and status updates as needed.
Ensure compliance with all regulatory, accreditation, and organizational credentialing requirements.
This position requires strict attention to detail, the ability to manage multiple deadlines, and the ability to work independently to ensure providers remain continuously credentialed and privileged without lapse.