Credentialing Coordinator (36020173)

Company: Innova
Location: New York
Posted on: May 9, 2025

Job Description:

A client of Innova Solutions is immediately hiring a Credentialing Coordinator

Hit Apply below to send your application for consideration Ensure that your CV is up to date, and that you have read the job specs first.

Position type: Fulltime/Contract
Durration: 6 month
Location: 50 Water Street New York City, NY (NYC) New York 10004 United States
Shift: Hybrid 9:00 am-5:00 pm (2 days in office, 3 days remote)

As a Credentialing Coordinator, you will:
Seeking an individual to join our Provider Services team in the capacity of Credentialing Coordinator. The responsibilities of this position include but are not limited to perform most tasks related to the credentialing of new providers, including document collection and verification, and provider credentialing file maintenance. Also ensure that all credentialing supporting documentation is confidential and maintained in a secure environment. As well as assisting facilities and providers in understanding and adhering to policies and procedures regarding the credentialing process.

Key Responsibilities:
Maintain communication with the credentialing contacts at facilities and provider sites to coordinate receipt of information required for credentialing, re-credentialing, and update of provider credentialing information
Review provider-credentialing file for completion and presentation to the Credentialing Committee
Perform primary source verification on required elements and in accordance with policies and procedures
Data entry and upkeep of provider information in the credentialing database
Verify New York State OPMC and Medicare/Medicaid for any current sanctions, restrictions on licensure and/or limitations on the scope of practice on all credentialed providers in interim credentialing periods
Generate and disseminate monthly provider credentialing updates to appropriate departments at and participating facilities and providers
Create, copy, file, and maintain all relevant documentation into provider credentialing folder
Perform annual delegated file audits and participate in pre-delegation and delegation site reviews
Respond to inquiries from other departments relative to a provider's credentialing status
Performs other related tasks as directed by the Director of Provider Services and the Credentialing Manager


The ideal candidate will have:
Highschool Degree required; Bachelor's Degree preferred
2 years of previous experience with provider credentialing processes and procedures
Knowledge of CACTUS preferred
Must be able to handle multiple projects simultaneously.
Comprehensive knowledge of managed care with a specific emphasis on physician credentialing.
Ability to meet time-sensitive deadlines and multi-task in a changing healthcare environment.
Understanding of credentialing activities as they relate to initial credentialing, re-credentialing, and credentials modification(s)


Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.
We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines. ASK ME HOW.
Thank you!

Jyoti Tiwari
678-496-7813
Jyoti.Tiwari2@innovasolutions.com

PAY RANGE AND BENEFITS:
Pay Range*: $25/hr - $30/hr
*Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).

ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

Recent Recognitions:
Named One of America's Best Employers for New Grads by Forbes (2024
Named One of the Best Companies to Work for by U.S. News & World Report (Private Companies List, 2024-2025)
One of the Largest IT Staffing Firms in the US - Ranked #3 by Staffing Industry Analysts (SIA, 2024)
One of the Largest Staffing Firms in the US - Ranked #13 by Staffing Industry Analysts (SIA, 2024; includes Innova Solutions, Volt, & HireGenics)
Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)
One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC, 2024)
AWS Advanced Tier Services Partner with 100+ certifications


Website: https://www.innovasolutions.com/

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at hr@innovasolutions.com or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. - 1324b.
The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

Keywords: Innova, Philadelphia , Credentialing Coordinator (36020173), Other , New York, Pennsylvania