Provider Credentialing Specialist

The Provider Credentialing Specialist owns and is fully accountable for the end-to-end credentialing and payer enrollment process for all providers at Ezra Medical Center. You will ensure timely onboarding and uninterrupted reimbursement by proactively managing applications, follow-ups, and approvals across Medicare, Medicaid, and commercial payers. What You’ll Own Complete credentialing lifecycle for all providers — initial through recredentialing Payer enrollment and maintenance across all insurers — keeping providers active and billable Monitoring provider payer status; investigating and resolving any terminations or gaps Accurate, audit-ready provider files — licenses, DEA, board certs, malpractice, CVs CAQH profile management for all providers Expiration tracking and proactive renewals for all licenses and certifications End-to-end workflow management in Monday.com Telehealth provider credentialing including multi-state licensure Primary point of contact for providers, payers, and internal teams Qualifications Minimum 3 years of provider credentialing and payer enrollment experience FQHC or multi-provider group practice experience strongly preferred Hands‑on experience with CAQH, PECOS, and commercial payer portals Telehealth credentialing experience a plus CPCS or CPMSM certification preferred or willingness to obtain Strong follow-through, detail orientation, and ability to juggle multiple deadlines Monday.com or similar workflow tool experience #J-18808-Ljbffr