Job Description

Job Title: Credentialing Specialist (Healthcare Field)

Location: New York, NY

Schedule: Monday – Friday | 9:00 AM – 5:00 PM

Employment Type: Contract (W2)

Pay Rate: $27/hour

Position Overview

The Credentialing Specialist is responsible for managing all aspects of provider credentialing and re-credentialing in a healthcare environment. This role ensures compliance with regulatory, accreditation, and organizational requirements while maintaining accurate and up-to-date provider records.

Key Responsibilities

Credentialing & Provider Management

• Facilitate all aspects of provider credentialing, including:

  • Initial appointments

  • Reappointments

  • Credential audits

  • Clinical privileging

• Support credentialing for Medical Staff, Allied Health Professionals, and other providers in accordance with corporate policies and medical staff bylaws

• Provide credentialing back-up coverage for other team members as needed

License & Compliance Management

• Ensure physician and provider licenses are renewed prior to expiration

• Conduct Primary Source Verification (PSV) for new and existing providers

• Interpret and comply with applicable accrediting and regulatory agency requirements

• Maintain working knowledge of credentialing-related statutes and regulations

Systems & Records Management

• Utilize MDStaff credentialing software to perform and monitor:

  • Credentialing checks

  • Background verifications

  • Privileging documentation

• Maintain accurate provider files and records, ensuring all information is current

• Use database alerts, reports, and scanned documentation tools to track credentialing status

• Ensure consistency and accuracy in database entries to support standardized credentialing processes

Required Qualifications

• Bachelor’s Degree – Required

• Healthcare field experience – Required

• Proven experience in provider credentialing and re-credentialing

• Strong attention to detail and audit skills

• Familiarity with credentialing software systems (MDStaff preferred)

• Ability to manage multiple credentialing files and deadlines simultaneously

• Strong understanding of regulatory and accreditation standards related to credentialing

Skills

• Credentialing & Re-Credentialing

• Primary Source Verification (PSV)

• License Renewal Tracking

• Compliance & Regulatory Review

• Records Management

• Audit & Quality Control

• Credentialing Software (MDStaff preferred)

For more details reach at vgill@navitassols.com or Call / Text at 516-862-1203 .

Job Tags

Similar Jobs