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Credentialing Coordinator (000573)

New York, NY

Posted: 03/04/2025 Job Number: 29779200

Job Description

Duties:

Purpose of Position: Metroplus Health Plan is seeking an individual to join our Provider Services team in the capacity of Credentialing Coordinator. The responsibilities of this position include but are not limited to perform most tasks related to the credentialing of new providers, including document collection and verification, and provider credentialing file maintenance. Also ensure that all credentialing supporting documentation is confidential and maintained in a secure environment. As well as assisting facilities and providers in understanding and adhering to MetroPlus' policies and procedures regarding the credentialing process.

Excellent communication and organizational skills Previous experience with provider credentialing processes and procedures Knowledge of NYCHHC credentialing policies and procedures preferred Good computer skills and able to work with MS Office Knowledge of CACTUS preferred

Meet Your Recruiter

Victoria Jimenez
Senior Compliance Specialist

Victoria Jimenez joined ProMed Staffing Resources in 2022 and brings a thoughtful, detail-oriented approach to her role as Senior Compliance Specialist. She holds a Bachelor’s degree in Psychology from New Jersey City University, which informs her empathetic and people-centered style of communication. Known for her professionalism and care, Victoria ensures that every compliance interaction is handled with integrity and precision.

Outside of work, Victoria enjoys spending quality time with her son and taking long, scenic walks that offer space to recharge and reflect. Her commitment to both personal and professional growth makes her a valued member of the ProMed team.

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