Phaxis

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Credentialing Specialist

Bronx, NY 10467

Posted: 03/27/2025 Employment Type: Contract Job Number: 25186569 Pay Rate: 20-21 USD/Hour

Job Description

CREDENTIALING SPECIALIST
Coordinate all credentialing activities to ensure provider participation with CenterLight Healthcare. Ensure provider compliance with credentialing standards. Conduct outreach to providers for verification and request for information.

Location: Wallerstein

Setting: : Hybrid (Wed & Friday in Office)

Schedule: Monday Friday 8: 30 am-5: 30 pm (1 hour lunch)

JOB RESPONSIBILITIES INCLUDE:
- Coordinate provider credentialing process to increase efficiency and ensure that credentialing deadlines are met.
- Research and solve credentialing/re-credentialing delays & issues with enrollment in a timely manner.
- Manage confidential information of internal staff (Physicians, Nurse Practitioners).
- Ensure demographic updates are reviewed and verified for processing.
- Ensure the database is kept accurate and updated.
- Maintain necessary logs, lists, records, and current documentation required for physician/provider credentialing and re-credentialing to ensure requirements are met in a timely manner.
- Prepare documents for Credentialing Committee review.
- Outreach to provider for information verification and miscellaneous inquiries, i.E. Provider portal access, nursing home documentation, medical records retrieval, etc.
- Provide productivity and issues reports for Management.
- Remain current on policies affecting provider credentials and enrollment processes.

QUALIFICATIONS INCLUDE:

Associates/Bachelor's Degree, and/or equivalent work experience. Experience:
- A minimum of three (3+) years of credentialing experience.
-Preferred: Credentialing in a Healthplan setting.
-Microsoft Office/Suite Proficient (Excel, Outlook, Word, etc.)

Meet Your Recruiter

Kimberlee Samuel

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About Bronx, NY

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Drew Anson

Chief Delivery Officer

Drew Anson is Chief Delivery Officer at Phaxis, a Workforce Solutions Company based in New York.

In this role, Drew leads the delivery and recruiting working closely with the leadership team to define a model that is efficient at supporting the firm s current needs and is scalable for future growth.

Drew is a seasoned executive with more than 13 years of Services & Recruitment experience. In that time, he has supported numerous Fortune 100/500/1000 organizations across industries by providing global workforce solutions, namely resources and thought leadership for large-scale projects, implementations, and managed services.

Prior to joining Phaxis predecessor firm Park Hudson in 2021, Drew spent three years at engineering technology and talent solutions firm, Collabera, as Director of Sales in North Carolina. Earlier in his career, he spent nearly eight years at Insight Global, most recently as Sales Manager of the Columbus, OH office.

He holds a degree from Central Michigan University in Sales & Marketing.

Favorite Book: Extreme Ownership Jocko Willink & Leif Babin
Favorite Team: Michigan Wolverines
Inspirational Quote: There is no substitute for hard work. Thomas A. Edison