Credentialing Specialist

Position Overview:

A leading healthcare organization is seeking a highly organized and detail-oriented Provider Credentialing Specialist to manage credentialing, recredentialing, and payer enrollment. This role ensures compliance with regulatory and insurance requirements while supporting timely provider onboarding and uninterrupted reimbursement.

 

Responsibilities:

• Manage full-cycle credentialing and recredentialing processes
• Complete and submit credentialing and payer enrollment applications
• Verify provider credentials (licenses, DEA, certifications, education, work history)
• Maintain credentialing files and ensure documentation accuracy
• Enroll providers with Medicare, Medicaid, and commercial payers
• Track applications and follow up with insurance carriers
• Maintain CAQH profiles and ensure timely attestations
• Monitor expirations and ensure ongoing compliance
• Use Monday.com to track workflows, deadlines, and onboarding

Qualifications:

• Credentialing and payer enrollment experience preferred 
• Experience with Medicare, Medicaid, and commercial insurance
• Proficiency in CAQH, PECOS, and payer portals
• Strong organizational and multitasking skills
• Ability to work independently with minimal training

Compensation & Benefits:

• Salary: $70,000 – $90,000+ (DOE)
• Schedule: Monday–Thursday 9:00 AM–5:00 PM; Friday 9:00 AM–1:00 PM
• Health, dental, and vision insurance
• Paid time off and holidays
• Warm, team-oriented office environment
• Growth opportunities within the organization

About the Employer:

This organization is a well-established healthcare provider in Brooklyn, committed to delivering high-quality patient care while maintaining operational excellence and compliance.