Credentialing Specialist

Overview

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.