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Medical Credentialing Associate

Atria Physician Practice New York PC

New York, new york


Job Details

Full-time


Full Job Description

The Licensing and Credentialing Associate is responsible for managing the credentialing process for healthcare providers, ensuring compliance with all regulatory and accreditation requirements. This role involves the verification of professional qualifications, maintaining accurate records, and coordinating with various internal and external stakeholders to support the credentialing and licensing processes.

About the Position:

We are seeking an experienced, self-motivated and organized professional to manage malpractice insurance applications and licensing of our clinical team with state medical boards. 

Medical Malpractice Administration:

  • Work closely with leadership, clinical team and our insurance broker to complete all malpractice insurance applications in a timely manner
  • Work with leadership to renew policies on an annual basis and implement risk management strategies to reduce costs and minimize potential malpractice risks within the practice
  • Liaise with HR to ensure malpractice coverage is in place prior to employment start date

Coordination of State Medical Board Licensing:

  • Work closely with our third-party administrator, Medallion, to manage the initial credentialing and re-credentialing processes for our clinical team with state medical boards
  • Liaise with healthcare providers to obtain and verify qualifications, including education, training, licensure, board certification, and work history
  • Coordinate and process applications for state licensure, renewals, and any necessary endorsements.
  • Maintain up-to-date knowledge of state licensing requirements and procedures.

 Documentation and Record Keeping:

  • Maintain accurate and complete credentialing files and records for all healthcare providers.
  • Ensure timely updates and renewals of licenses, certifications, and other credentials.

Compliance and Auditing:

  • Ensure compliance with federal, state, and local regulations, as well as accreditation standards
  • Conduct regular audits of credentialing files to ensure compliance with internal policies and external regulations
  • Prepare for and assist with internal and external audits and surveys

Communication and Coordination:

  • Serve as a liaison between healthcare providers, internal departments, and external agencies regarding credentialing and licensing matters

Salary $85,000 - $110,000

Requirements

  • Minimum of 2 years of experience in malpractice administration and/ or credentialing with state medical boards
  • Bachelor's degree in Healthcare Administration, Business Administration, or related field
  • Experience in malpractice administration and/ or credentialing with state medical boards
  • Credentialing certification strongly preferred
  • Understanding of healthcare regulations and compliance requirements
  • Excellent organizational skills and attention to detail, with the ability to prioritize tasks and manage multiple responsibilities simultaneously
  • Proficiency in Google Suite and healthcare management software including Medallion
  • Exceptional interpersonal and communication skills, with the ability to interact effectively with diverse stakeholders
  • Commitment to maintaining confidentiality and upholding ethical standards in all aspects of the job

Benefits

At Atria, we are proud to offer every member of the Atria team:

ā—      Excellent health and wellness benefits, 100% paid by Atria

ā—      Time to give back and make an impact in underserved communities

 

Join us at Atria Institute and be a part of a team that is redefining healthcare with excellence, innovation, and compassion!

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