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, Long Island.

In this role, the successful candidate Responsible for the overall process for physician/practitioner reappointments to the Medical and Dental Staff. Communicates with the clinical department regarding providers due for review/reappointment , sends out applications and receives completed requests for physicians/allied health professionals requesting continuing membership on the medical staff. Initiates, processes, reviews and analyzes physician/allied health applications for reappointment to the staff. Maintains the confidential credential file of each applicant; reviews for completeness and notifies physician/practitioners of missing information.

Job Responsibilities:

• Maintains current verification of licensure, DEA, malpractice insurance, malpractice claims history and certification information in credentials file; reviews content and raises appropriate questions regarding information and qualifications relative to established standards.
• Identifies and flags adverse information from application materials for the purpose of conducting special follow-up investigations in preparation for Credentials Committee review.
• Enters updated information into the Cactus database, interpreting or adapting data to conform to defined data field uses. Prepares, issues, tracks and follows-up on appropriate verification letters for adequate processing of each individual application, applying established procedural guidelines. Maintains current logs of contact agents.
• Obtains Physician Profiles and assembles data to include all elements required by regulatory and accrediting agencies.
• Maintains electronic work sheet/checklist of activities initiated and responses received; initiates appropriate follow-up to obtain verification of information. Utilizes the credentialing program on the computer system to obtain verification in a minimum amount of time. Maintains tickler system for follow-up of unanswered correspondence according to schedules designed to maintain departmental standards for application processing time.
• Runs data reports for various basic configurations of data such as provider profiles, pending provider lists and expired credentials.
• Employs public relations skills in a wide variety of phone contacts with external sources for purposes of soliciting information essential to credentials investigations, including licensing agencies; university and hospital training program personnel; certification boards; liability insurance carriers; hospital officials and credentials staff and physicians and their office staff.
• Post Committee review and approvals may enter Delineation of Privileges data into electronic system and set up tracking to support privilege activities.
• Responsible for notifying sponsoring department and staff member of progress toward completion of the verification process and may schedule interviews as determined appropriate. Sends second and third notices to those who do not respond by the first request.
• Performs clerical duties as required or assigned on an ad hoc basis and provides backup coverage for the Medical Staff Services office as may be necessary to provide necessary services.

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:
Preferred Qualifications:Medical staff office experience preferred with credentialing certification from NAMSS (National Association of Medical Staff Services). Excellent verbal and written communication skills, including knowledge of medical terminology. Computer skills, including word processing and data base maintenance. 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. Must be well organized and able to prioritize responsibilities. Must have independent judgment and interpersonal relationship skills in working with medical staff leaders and other Departments in the NYU Health System. Affiliation with the National and State Association Medical Staff Services encouraged.

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.

View Know Your Rights: Workplace discrimination is illegal.

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 $48,274.09 - $71,550.00 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

Required Skills

Required Experience