Credentials Associate - Manhattan

NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.

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Position Summary:
We have an exciting opportunity to join our team as a Credentials Associate - Manhattan.

In this role, the successful candidate Responsible for initiating, processing, reviewing and analyzing physician/allied health applications for reappointment in accordance with established credentialing standards.

Job Responsibilities:

• Demonstrates knowledge of the organizations Service Standards and incorporates them into the performance of duties.


• Performs other clerical duties and assists staff with special projects as assigned.


• Post Committee reviews and approvals, responsible for assuring file completeness and prompt, accurate and detailed communication regarding final on-boarding of new providers.


• Maintains a high degree of discretion and trustworthiness in the handling of confidential information associated with the credentialing process.


• Reviews credential files, as assigned, in preparation for delegated credentialing and regulatory audits.


• Organizes and prepares credential files for review by management, clinical department leadership and the Credentials Committee.


• Notifies sponsoring department and staff member of progress toward completion of the verification process. Sends second and third notices to those who do not respond by the first request.


• Maintains tickler system for follow-up of unanswered correspondence in accordance with applicable credentialing standards and established procedural guidelines. Escalates matters of significance to management for investigation and resolution.


• Maintains electronic work sheet/checklist of activities initiated and responses received in accordance with applicable credentialing standards and established procedural guidelines.


• Internally audits, organizes and maintains provider files in accordance with established principles of legal documentation and confidentiality.


• Runs data reports for various basic configurations of data such as provider profiles, pending provider lists and expired credentials to effectively manage and monitor their reappointment applications.


• Employs public relations skills and uses discretion in a wide variety of email, phone and in person contacts with internal and external sources for purposes of soliciting information essential to the credentialing process and credentials investigations.


• Obtains Physician Profiles and assembles data to include all elements required by regulatory and accrediting agencies.


• Prepares, issues, electronically tracks and follows-up on appropriate verifications for efficient processing of each individual application in accordance with applicable credentialing standards and established procedural guidelines.


• Enters data from provider applications into Cactus database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses.


• Flags adverse information from application materials and escalates identified flags to management for the purpose of conducting special follow-up investigations in preparation for Credentials Committee review.


• Conducts primary source verification and validation of re-credentialing documents including board certification and eligibility, licensure, accreditation, work history, liability insurance and malpractice claims history. Assesses completeness of information and qualifications relative to credentialing standards.


• Initiates, processes, reviews and analyzes physician/allied health applications for reappointment in accordance with applicable credentialing standards and established procedural guidelines.

Minimum Qualifications:
To qualify you must have a High school graduate or the equivalent. Minimum of one year credentialing experience in a healthcare setting required.

Preferred Qualifications:
Medical staff office experience preferred. Medical staff credentialing certification from NAMSS (National Association of Medical Staff Services) a plus. Excellent verbal and written communication skills, including knowledge of credentialing. Excellent computer skills, scanning, including word processing and data base maintenance (Cactus Software preferred). Energetic and self- motivated with the ability to complete projects independently within established timeframes. Ability to handle multiple projects and deadlines. Ability to cope with interruptions, varying personalities, rush projects, and demanding medical staff. Able to prioritize responsibilities. Independent judgment and interpersonal relationship skills in working with the staff, Medical Staff leaders and other Departments in the NYU Hospitals Center.

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

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NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $50,204.70 - $75,127.50 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here