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Professional Physical Therapy Credentialing Coordinator in Melville, New York

Credentialing Coordinator assists in ensuring applicable providers are licensed and certified as mandated by state and federal regulations, and that notification to payers is timely and complete. Responsible for monitoring and maintaining the process for credentialing and re-credentialing providers. Works with the RCO and Credentialing team on various credentialing functions, regardless of payer. Follows determined processes to monitor and maintain systematic and timely credentialing. Follows departmental standards and policies and procedures to ensure the accuracy of credentialing data in Professional Physical Therapy EMR database. Leads, coordinates, monitors the review and analysis of practitioner applications, and accompanying documents, ensure applicant eligibility. Prepares credentialing files for completion. Processes requests for privileges, ensuring compliance with criteria outlined in clinical privilege descriptions. Responds to inquiries from other healthcare organizations, interfaces with internal and external customers daily regarding credentialing and privileging issues and provides resolution as needed. Behaves in a manner consistent with Professional's mission, vision and values. Attends training classes as directed and completes assigned training courses. Maintains a working knowledge of HIPAA, OSHA, Risk Management and Compliance regulations. Knowledge of/proficiency with Microsoft Office is required. Knowledge of credentialing requirements strongly preferred. Detail oriented and organized with the ability to work independently and in a group setting. Strong research skills to gather pertinent information. Ability to communicate effectively, both orally and in writing. Ability to establish and maintain effective and cooperative working relationships with staff and others contacted in the course of work. Ability to prioritize tasks and meet deadlines. Full-time position. $18-$20.00/hour Benefits: 401(k) and 401(k) matching, dental insurance, employee assistance program, health insurance, life insurance, paid time off, referral program, vision insurance. Any interested candidates should email their resume to Mary Alice Bartlett at: mbartlett@professionalpt.com

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