Credentialing Specialist

Title: Credentialing Specialist

Duration: 6-month contract (taking over for medical leave)

Pay rate: $32 - $40

Location: Newark, NJ

Schedule: Monday–Friday, 37.5 hour work week (flexible start time 8 or 9 AM)

Interview: 2 virtual interviews

Must-Haves

• Medical Staff Credentialing experience for physicians/faculty
• Hands-on experience with provider enrollment (Medicare, Medicaid, Managed Care plans)
• Knowledge of NJ physician licensing, DEA registration, and hospital privilege requirements
• Strong documentation management and application processing skills
• Experience coordinating with hospitals, clinical faculty, and administrative offices
• Ability to manage new hire and reappointment credentialing cycles
• High attention to detail and follow-through in regulated environments

Plusses

• Experience working in an academic medical center or university-based practice
• Familiarity with UPA of NJ or similar practice plans
• Experience with online credentialing and payer enrollment portals
• Prior exposure to managed care or practice plan administration workflows
• Credentialing software or systems experience

Day-to-Day

• Manage medical staff credentialing for new clinical faculty (full-time, part-time, per diem)
• Oversee annual reappointments and ongoing privilege renewals
• Serve as the primary point of contact for faculty completing credentialing applications
• Collect, review, and track required documentation (NJ license, DEA, CVs, etc.)
• Submit and coordinate hospital privilege applications across assigned hospitals
• Partner with Managed Care Office and Practice Plan Administration on provider enrollment
• Submit provider demographics for enrollment with Medicare, Medicaid, and managed care plans
• Track application status and ensure completeness across multiple systems
• Support new physician hires through a 3‑month end-to-end onboarding/credentialing process

Job Description

Insight Global is seeking a Medical Staff Credentialing & Provider Enrollment Specialist for a top academic healthcare client. This individual will play a critical role in onboarding and maintaining clinical faculty by managing medical staff credentialing, applications and third‑party payer enrollment. The role partners closely with physicians, managed care teams, and practice plan administration to ensure all applications, documentation, and regulatory requirements are completed accurately and on time. This is an excellent opportunity for a detail-oriented credentialing professional who thrives in a fast-paced, highly regulated healthcare environment and enjoys being a key resource for new physician hires.