Central Billing Office - Credentialing Coordinator **Boynton Beach, FL ** Details

Central Billing Office - Credentialing Coordinator **Boynton Beach, FL **

NYU Langone - Boynton Beach, FL

Employment Type : Full-Time

NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children’s hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. For more information, go to nyulangone.org, and interact with us on Facebook, Twitter, YouTube and Instagram.

Position Summary:
We have an exciting opportunity to join our team as a FGP Provider Enrollment Specialist.

In this role, the successful candidate 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.
• 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.
• Communicate any possible barriers and delays in credentialing process to all necessary parties in a timely fashion.
• 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.
• Prepare and distribute weekly updates of any new provider enrollments and demographic updates.
• Correspond with health plans as needed to ensure the appropriate contract linkage on behalf of FGP providers.
• Other tasks and projects, as assigned, which support the credentialing and contract management business needs of the Faculty Group Practice.
• Completing and submitting credentialing applications to managed care insurance companies, Governmental plans (CMS Medicare PECOS, NYS Medicaid, Workers Comp).
• Completion of CAQH applications on behalf of NYU Langones employed provider network
• Updating Provider demographic data in CACTUS credentialing system.

Minimum Qualifications:
To qualify you 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.

NYU Langone Florida is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.

If you wish to view NYU Langone Florida’s EEO policies, please click here. Please click here to view the Federal "EEO is the law" poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information. To view the Pay Transparency Notice, please click here.