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Credentialing Manager

New York Plastic Surgical Group

Garden City, New York

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JOB DETAILS
SKILLS
Accounts Payable, Advanced Cardiac Life Support (ACLS), Advanced Life Support (ALS), Basic Life Support (BLS), Business Administration, Cardiovascular, Certified Provider Credentialing Specialist (CPCS), Communication Skills, Computer Skills, Database Technology, Detail Oriented, Establish Priorities, File Audits, Health Information Management, Healthcare Administration, Healthcare Providers, Healthcare Software, Hospital, Infection Control, Insurance, Intranet, Licensing, Licensing Compliance, Maintain Compliance, Medical Office, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Microsoft Word, Organizational Skills, Pediatric Advanced Life Support (PALS), Plastic and Reconstructive Surgery, Provider Credentialing, Public Health, Regulatory Compliance, Reporting Skills, Requirements Management, Staff Requirements, Status Reports, Time Management, United States Drug Enforcement Agency (DEA)
LOCATION
Garden City, New York
POSTED
30+ days ago

About us:

New York Plastic Surgical Group (NYPS Group) is the largest and longest-running private and academic plastic surgery practice in the United States. With more than 20 board-certified plastic surgeons practicing across 10+ affiliated offices, ambulatory surgery centers, and over 20 hospitals, NYPS Group provides expert, comprehensive, and compassionate care. Founded in 1948, NYPS Group, a division of Long Island Plastic Surgical Group, is one of the nation’s most well-established plastic surgery practices, offering patients the collective expertise of specialty-trained surgeons dedicated to achieving exceptional outcomes. 

Required Experience:

  • Minimum of 4–5 years of credentialing experience in a hospital, ambulatory surgery center, or multi-site medical practice environment, including hospital privileging and reappointment processes. 
  • Experience with hospital credentialing, privileging, and recredentialing processes 
  • Experience with ambulatory surgery center credentialing and privileging requirements, including American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). 
  • Experience with primary source verification and credentialing audits. 
  • Experience tracking provider licensure, certifications, and Continuing Medical Education (CME). 
  • Experience coordinating credentialing across multiple facilities and insurance payors. 
  • Strong organizational skills and attention to detail. 
  • Strong communication and computer skills. 
  • Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint). 
  • Ability to prioritize and manage multiple deadlines. 
  • Experience with credentialing system ReadyDoc , Nextech preferred. 
  • Certified Provider Credentialing Specialist (CPCS) certification preferred. 
 

Key Responsibilities:

Responsibilities include, but are not limited to, the following:

  • Process initial credentialing and recredentialing applications for healthcare providers.  
  • Prepare and submit credentialing and privileging applications for hospitals, ambulatory surgery centers, and insurance payors.  
  • Review, verify, and process credentialing applications, including online application submissions.  
  • Perform primary source verification for licenses, education, training, board certification, and work history. 
  • Track license and certification expirations to ensure timely renewals, including but not limited to state licenses, Drug Enforcement Administration (DEA), Controlled Dangerous Substances (CDS), board certifications, Continuing Medical Education (CME), Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), Pediatric Advanced Life Support (PALS), infection control, child abuse courses, and health assessment requirements.  
  • Maintain credentialing and privileging files in compliance with American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) and hospital medical staff requirements and ensure files are audit-ready at all times.  
  • Maintain provider information in credentialing database systems.  
  • Maintain hospital affiliation grid on the company intranet.  
  • Track and log Continuing Medical Education (CME) credits for providers. 
  • Evaluate hospital usage prior to renewing existing privileges.  
  • Coordinate with hospital medical staff offices and insurance payors to ensure timely processing of applications and renewals. 
  • Work with Accounts Payable to ensure licensing fees, application fees, hospital dues, and medical staff dues are paid on time. 
  • Generate credentialing reports and status updates as needed.  
  • Ensure compliance with all regulatory, accreditation, and organizational credentialing requirements. 
  • This position requires strict attention to detail, the ability to manage multiple deadlines, and the ability to work independently to ensure providers remain continuously credentialed and privileged without lapse. 
 

Education Requirements: 

  • Bachelor’s degree , preferably in Healthcare Administration, Health Information Management, Business Administration, Public Health, or related field.
  • Certified Provider Credentialing Specialist (CPCS) certification preferred.
 

Location: Garden City (on-site) 

 

Compensation: $50,000-$65,000

 

WHAT WE OFFER: 

  • Comprehensive Health Benefits: Medical, Dental, and Vision Coverage.
  • Voluntary Benefits: Options include Aflac (short-term disability, hospital, accident, and cancer coverage), long-term disability, life insurance, and pet insurance.
  • Paid Time Off: 19 PTO days per year, in addition to 8 paid holidays.
  • Retirement Benefits: 401(k) plan with a discretionary company match.
  • Cosmetic & Med Spa Perks: Employee discounts on services and products at Deep Blue Med Spa. 
  • Additional discounts through PLUM and Work Advantage programs. 

About the Company

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New York Plastic Surgical Group

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