Summary/Objective
Reporting to the Director of Human Resources and Administrative Services provides support to the Washington Township Medical Foundation Credentialing Department.
Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Process initial credentialing and re-credentialing applications for physicians, NPs and Pas
Verify licenses, certifications, education, work history, and malpractice coverage through Healthguard for primary source verification
Maintain credentialing databases (e.g., CAQH, payer portals) and ensure timely updates
Track expiration dates for licenses, DEA registrations, and certifications; proactively follow up to prevent lapses
Maintain Rosters
Administrator for Payors, including, but not limited to: granting/removing employee access, password resets, etc.
Prepare credentialing files for internal committee review and payer submission

Communicate with providers to collect required documentation
Ensure compliance with NCQH and state/federal regulations

Respond to inquiries from health plans, hospitals, and internal stakeholders regarding provider status

Maintain confidentiality of sensitive provider information
Back up to the Executive Assistant/Manager of Administration.
Other duties as assigned.

Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands
While performing the duties of this job, the employee is regularly required to talk or hear. This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary.
Qualifications and Education Requirements

Must have at least 6 months to a year of related credentialing experience.
Proficiency in Microsoft Office Suite
Must have strong organizational skills to effectively prioritize, coordinate, perform and complete multiple duties and assignments concurrently and in a timely manner.
Must have the ability to communicate effectively and handle sensitive/confidential information.
Knowledge of and proficiency in English composition, spelling, grammar, punctuation, and basic math principles.

Competencies

Business Acumen
Interpersonal Relationships
Change Agent
Collaboration Skills
Communication Proficiency
Decision Making
Initiative
Leadership
Problem Solving/Analysis

Job Type: Full-time

Salary: $29.00-$35.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Disability insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Parental leave
Vision insurance

Schedule:

Monday to Friday

Work Location: One location