Credentialling Specialist

Provider Credentialing Specialist Brooklyn, NY | Full-Time | Onsite $70,000 – $90,000 Position Overview A growing healthcare organization is seeking a highly organized Provider Credentialing Specialist to take ownership of provider credentialing, payer enrollment, and compliance activities across a large and expanding provider network. This is a high-impact role for someone who can bring structure, accountability, and process improvement to an evolving credentialing function. The ideal candidate is detail-oriented, proactive, and capable of independently managing credentialing operations while ensuring providers remain compliant and enrolled with all required payers. Key Responsibilities Manage provider credentialing and recredentialing processes from start to finish Verify provider licenses, DEA registrations, board certifications, education, work history, and malpractice coverage Maintain accurate credentialing files and supporting documentation Enroll providers with Medicare, Medicaid, and commercial insurance carriers Track enrollment applications and follow up with payers to ensure timely approvals Manage provider additions, updates, and terminations with insurance carriers Maintain and attest CAQH profiles and supporting documents Monitor expiration dates for licenses, certifications, malpractice insurance, and other credentials Conduct routine audits to ensure provider compliance and audit readiness Generate credentialing, enrollment, and expiration reports Serve as the primary point of contact for providers regarding credentialing and enrollment matters Coordinate provider onboarding activities with internal departments Develop and improve credentialing workflows, processes, and tracking systems Utilize Monday.com to manage projects, deadlines, and credentialing activities Qualifications 2+ years of provider credentialing and payer enrollment experience preferred Experience credentialing providers with Medicare, Medicaid, and commercial insurance plans preferred Strong knowledge of CAQH, PECOS, and payer portals preferred Exceptional organizational skills and attention to detail Ability to manage multiple providers and deadlines simultaneously Strong follow‑up, communication, and problem‑solving skills Experience using Monday.com or similar project management software preferred Ability to work independently and take ownership of a growing function What Makes This Opportunity Unique Opportunity to take ownership of the credentialing department Significant opportunity for growth and leadership as the organization expands Direct impact on provider onboarding, compliance, and operational success Collaborative and supportive office environment Medical, dental, and vision benefits 403(b) with employer match after eligibility period PTO and vacation accrual program Email resumes to View email address on click.appcast.io #J-18808-Ljbffr Mai Placement