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About the Role
The Credentialing Coordinator supports the Credentialing Manager in executing day-to-day credentialing and enrollment activities, maintaining accurate records, and ensuring timely processing of provider information in accordance with organizational policies and regulatory requirements. This work is carried out in support of the mission and goals of Ryan Health.
Responsibilities
- Initiate credentialing process for new providers upon notification by HR.
- Track and follow up with providers for timely submission of credentialing materials.
- Perform primary source verification of licenses, certifications, and other required documentation.
- Assist in preparation of delineation of privileges (DOP) documentation.
- Compile and organize credentialing files for review.
- Support preparation of materials for Credentials Committee review.
- Assist with scheduling of Credentials Committee meetings and preparation of draft minutes.
- Support enrollment of providers with Medicaid, Medicare, managed care organizations, and commercial payors.
- Prepare and submit enrollment applications and supporting documentation.
- Track application status and follow up with payors for timely processing.
- Maintain documentation related to delegated credentialing arrangements.
- Monitor re-credentialing timelines and notify providers of upcoming requirements.
- Assist with collection and review of re-credentialing materials.
- Prepare re-credentialing files for internal review and committee submission.
- Support resolution of routine enrollment and credentialing issues.
- Create and update provider profiles in CAQH and other required databases.
- Assist with Medicaid and Medicare enrollment and revalidation submissions.
- Maintain accurate NPI and provider data across systems.
- Support provider enrollment in NCQA/PCMH systems, 340B program, and other third-party platforms.
- Maintain credentialing records and files in accordance with Joint Commission, NCQA, and CAQH standards.
- Enter and update provider data in credentialing software systems.
- Assist in preparation of routine reports on credentialing and enrollment activity.
- Ensure data accuracy and completeness across all tracking tools and systems.
- Adhere to organizational credentialing policies and applicable regulatory requirements.
- Support audit preparation and responses for internal and external reviews.
- Maintain confidentiality and security of provider information.
- Participate in special projects and perform other duties as assigned.
Requirements
- 0–2 years of credentialing, provider enrollment, or related healthcare administrative experience.
- Relevant experience in a health center or similar clinical setting in another capacity will be considered.
- Familiarity with healthcare operations, regulatory environments, or administrative processes preferred.
- Strong organizational skills with attention to detail.
- Ability to manage multiple priorities.
- Effective written and verbal communication skills.
- Ability to follow established procedures and escalate issues appropriately.
- Experience with CAQH, PECOS, or similar credentialing/enrollment systems (preferred).
- Experience in a federally qualified health center (FQHC) or similar setting (preferred).
- Prior supervisory experience (preferred).
- Professional, courteous, and responsive in interactions with providers and internal stakeholders.
- Demonstrates commitment to accuracy and timeliness.
- Works effectively under direction of the Credentialing Manager.
- Collaborates with HR, clinical leadership, and administrative teams.
- Seeks guidance when needed and communicates status proactively.
Skills
- Credentialing
- Provider enrollment
- Healthcare administration
- Organizational skills
- Attention to detail
- Time management
- Communication skills
- Problem-solving
- CAQH
- PECOS
Location
- West 97th Street - New York, NY
Work Type
- Full Time
- Day Shift
Experience Level
- Experienced
Education Level
- High School Diploma or GED and 3–5 years of relevant experience
- Bachelor’s Degree and 1–2 years relevant experience
Salary/Compensations
- $70000.00 - $75000.00Salary/year
About the Company
- Ryan Health is a primary care ambulatory setting.
Equal Opportunity
- Ryan Health is an Equal Opportunity and does not discriminate on the basis of age, color, disability, ethnicity, marital or family status, national origin, race, religion, sex, sexual orientation, gender identity, military veteran status, or any other characteristic protected by law.