Credentialing Specialist Job at Pride Health, Pompton Plains, NJ

WGpGOUp2VE4zbnVLUGtjY0dCd3JTT3ZsZFE9PQ==
  • Pride Health
  • Pompton Plains, NJ

Job Description

Job Description

Job Description

Job Title: Medical Staff Credentialing Specialist
Location: Onsite – Pompton Plains N J 07444
Schedule: Monday – Friday | 8:00 AM – 4:00 PM
Start Date: 08/11/2025
Type: Full-time Contract (Onsite)
Note: This is NOT an insurance credentialing role

Position Overview:

We are seeking an experienced and detail-oriented Medical Staff Credentialing Specialist to support credentialing processes for physicians and allied health professionals. The ideal candidate will ensure regulatory compliance, maintain high data accuracy, and support committee operations within the medical staff office.

Key Responsibilities:

  • Enforce regulatory compliance and quality assurance standards.

  • Process and maintain applications for initial appointments and reappointments (125–200 quarterly).

  • Collect and verify credentials including education, licensure, training, and experience.

  • Maintain up-to-date provider information in Echo and online credentialing databases.

  • Ensure all credentialing activities align with legal, state, and federal regulations.

  • Prepare reports and documentation for the Credentials Committee, MEC, and Board of Trustees.

  • Schedule, attend, and take minutes for medical staff department meetings.

  • Manage provider dues and maintain confidential provider records.

  • Track license and certification expirations to ensure timely renewals.

  • Ensure compliance with site-specific Bylaws related to credentialing.

  • Perform additional administrative and support tasks as assigned.

Qualifications:

  • Demonstrated knowledge of the credentialing process (non-insurance)

  • Ability to manage multiple priorities with strong organizational skills

  • Strong verbal and written communication skills

  • Excellent computer proficiency and database experience (Echo preferred)

  • Able to work independently and collaboratively with stakeholders

  • High attention to detail and discretion with confidential information

    If Interested, you can reach me on my number (917)-444-3132 or email me at vrunda.sutaria@pride -health.com
Company Description

Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.

Company Description

Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.

Job Tags

Full time, Contract work, Work at office, Monday to Friday,

Similar Jobs

UPMC - Pittsburgh Medical Center

Graduate Nurse Opportunities UPMC Passavant Job at UPMC - Pittsburgh Medical Center

 ...a current student nurse graduating in Fall/Winter 2025, Spring 2026, or Summer 2026 and looking to continue your nursing career at UPMC? \n UPMC Passavant is pleased to announce we are NOW HIRING Graduate Nurses as full-time Professional Staff Nurses. Graduate Nurse... 

CGS Federal (Contact Government Services)

Hebrew Document Review Attorney Job at CGS Federal (Contact Government Services)

 ...Hebrew Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE & QUALIFICATIONS:Fluency...  ...legal research, and foreign language translation. Unlike other eDiscovery vendors, Contact fosters a culture where every project manager,... 

Gigs

Medical Assistant - Occupational Medicine Days Job at Gigs

 ...over 224 clinic locations and 46 medical centers, Sanford Health is one...  ...and safety of workers. We work to prevent and treat work-related...  ..., and empathetic Medical Assistant (MA/CMA) who will be involved...  ...package to maintain a healthy home-work balance. For more information... 

Winchester Interconnect

Salesforce Administrator Job at Winchester Interconnect

 ...potential transforms into purpose, and every team member plays a vital role in shaping our shared success.Position Summary: As a Salesforce Administrator, you will play a pivotal role in supporting over 200 users and collaborating with our Senior Salesforce Administrator to... 

Healthcare Fraud Shield

SIU Investigator Job at Healthcare Fraud Shield

 ...prevention and payment integrity solutions, is looking for a talented Coder or Clinical Coder/Fraud Investigator to join our team. Key Responsibilities Work with SIU Team (Clinical Reviewers, CPCs, Investigators, Analysts-including performing quality check on work,...