FGP Credentialing Coordinator - Boynton Beach, Florida at NYU Langone Health

Boynton Beach, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

16 Jun, 26

Salary

0.0

Posted On

18 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Organizational Skills, Prioritization, Written Communication, Verbal Communication, Computer Skills, Data Entry Accuracy, Microsoft Excel, Database Programs, Communication, Credentialing, Contract Management, Managed Care Enrollment, Demographic Updates, Payer Enrollment, Tracking, Monitoring

Industry

Description

Position Summary: We have an exciting opportunity to join our team as a FGP Credentialing Coordinator. The incumbent in this position provides primary support to the Credentialing Managers and Director in all aspects of credentialing and contract management relative to FGP physicians. The Credentialing Coordinator will work directly with the FGP leadership to facilitate the credentialing, managed care enrollment and any demographic changes for physicians and ancillary providers within the Faculty Group Practice. This individual may interact daily with physicians, practice administrators, billing vendors, commercial and governmental health plans, the University Physicians Network and credentialing vendors. The Coordinator is responsible for ensuring that accurate demographic information is submitted for health plan linkages and all credentialing related information is shared with all necessary stakeholders in an expeditious manner. Job Responsibilities: * Work with department leadership to proactively identify providers who will be joining the FGP and establish appropriate service and billing information required for credentialing and payer enrollment. * Updating Provider demographic data in CACTUS credentialing system. * Completion of CAQH applications on behalf of NYU Langones employed provider network * Completing and submitting credentialing applications to managed care insurance companies, Governmental plans (CMS Medicare PECOS, NYS Medicaid, Workers Comp). * Other tasks and projects, as assigned, which support the credentialing and contract management business needs of the Faculty Group Practice. * Correspond with health plans as needed to ensure the appropriate contract linkage on behalf of FGP providers. * Prepare and distribute weekly updates of any new provider enrollments and demographic updates. * Track and monitor the end to end enrollment process of providers from the preparation of contracts to the end point of successful confirmation of linkage to payers. * Communicate any possible barriers and delays in credentialing process to all necessary parties in a timely fashion. * Coordinate the submission of credentialing documents and demographic information to external vendor to initiate the credentialing and enrollment of providers into governmental and commercial health plans. Minimum Qualifications: To qualify you must have a This individual must possess solid organizational skills and the ability to prioritize tasks to ensure compliance with departmental turnaround times. Strong written and verbal communication skills are essential. A comfort level communicating with internal and external constituents via email is expected. The Credentialing Coordinator must also demonstrate strong computer skills/knowledge and have the ability to enter data quickly but accurately. The Credentialing Coordinator should be proficient in Microsoft Excel and other database programs. Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Florida 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 Florida 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 [https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf]."

Responsibilities

The Coordinator provides primary support to Credentialing Managers and the Director in all aspects of credentialing and contract management for FGP physicians, including facilitating enrollment and demographic changes for providers. Responsibilities include updating provider data in CACTUS, completing CAQH applications, submitting applications to insurance companies, and tracking the end-to-end enrollment process.