Credentialing Specialist
$70k - $90kUnclassified
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. #J-18808-Ljbffr
$21.5 - $27 per hour
Credentialing Specialist HealthCare Support is actively seeking a Credentialing Specialist to fill an opening in Bronx, New York.Daily Responsibilities for Credentialing Specialist:Coordinate provider credentialing process to increase efficiency and ensure that credentialing...SuggestedWork at officeLocal areaImmediate startMonday to Friday$50k - $60k
...Job Title Remote Credentialing Specialist Location Remote Salary Range $50,000 - $60,000 per year Must Haves ~2+ years of provider credentialing experience ~ Experience working at or with a CVO (Credentialing Verification Organization), understanding...SuggestedFull timeRemote work- ...CareTalk Health is hiring a Licensing & Credentialing Specialist to manage end-to-end credentialing, licensing, and payer enrollment for a nationwide remote model. You will ensure regulatory compliance, maintain CAQH/NPPES/PECOS data, and coordinate with providers for...SuggestedRemote work
- ...Credentialing Coordinator Maintain communication with the credentialing contacts at facilities and provider sites to coordinate receipt of information required for credentialing, re-credentialing, and update of provider credentialing information. Review provider...SuggestedInterim role
$22.5 per hour
...saving lives, and changing the way addiction is treated in America. Schedule: 8:00am - 4:30pm local time Job Summary The Credentialing Specialist is an integral member of the Revenue Cycle Department. The Credentialing Specialist creates and maintains credentialing and...SuggestedLocal areaRemote work$20.24 per hour
...Verification (PIV) Card Activations, Enrollments, Certificate Updates, and PIN Resets. Answering phone calls/email inquiries related to PIV credentials and access control matters. Coordinate and conduct the enrollment process for PIV cards, including verifying the identity of...Full timeFor contractorsLocal areaImmediate startFlexible hours- ...Bedford-Stuyvesant Family Health Center in Brooklyn seeks a Credentialing & HR Assistant to support daily HR operations and provider credentialing while upholding privacy and compliance. The role involves onboarding, records management, and assisting with enrollment and...
$28 per hour
...FlexStaff is hiring a temp to perm Credentialing Admin Support Associate to join our clients team. Location: Bronx, NY Setting: : Hybrid... ...skillset. License: None required, certified provider credentialing specialist- preferred *Additional Salary Detail The salary range and/or...Hourly payPermanent employmentTemporary workWork experience placementWork at officeMonday to Friday- ...Credentialing Specialist The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging for Medical Staff, Allied Health Professionals...
- ...Lumio Dental - Sr. Credentialing Specialist We're a dental partnership organization dedicated to preserving the integrity of private practice. We currently serve patients in Oklahoma, Arkansas, Kansas, Missouri, and Nebraska. Looking for a team who values you, your time...Contract workWork experience placementPrivate practice
- ...A telehealth navigation company is seeking a Credentialing & Enrollment Lead to own the multi-state provider enrollment strategy. This role will directly impact payer relationships and enrollment operations. Ideal candidates will have experience in multi-state telehealth...
- ...BroadPath, a Sagility Company, is seeking credentialing specialists to join our remote team focused on provider credentialing and health plan operations. You will verify credentials, maintain records, and support a compliant provider experience while working from home....Weekly payFull timeRemote workWork from homeFlexible hours
$65k - $75k
...Credentialing and Licensing Specialist New York, NY Job Summary: The Credentialing and Licensing Associate is responsible for managing the end-to-end credentialing lifecycle for healthcare clinicians across our medical network. This role ensures providers are...Full timeLocal area- A leading credentialing service provider is seeking a remote Credential Specialist to handle day-to-day provider credentialing, licensing, and payor enrollment. Key responsibilities include processing applications, conducting research on licensure requirements, and communicating...Remote work
$50k - $70k
A behavioral health company for seniors is searching for a Provider Enrollment & Credentialing Specialist responsible for ensuring all clinicians are fully vetted and able to deliver care. The role requires experience in provider credentialing, knowledge of Medicare guidelines...Remote work$20 per hour
...BroadPath is seeking a Credentialing Specialist to support our health plan operations by ensuring timely, accurate credentialing of providers. This role is key to maintaining compliance with internal standards and external regulations while supporting a high-quality...Hourly payWeekly payWork at officeWork from homeMonday to Friday- ...SEVARO is seeking a Privileging Specialist to manage provider records and communications within the Medical Staff Services Department. This role involves maintaining accurate and timely documentation, supporting the team in obtaining necessary verifications, and ensuring...Work at officeRemote work
- ...Analysis therapy to individuals with Autism Spectrum Disorder. Our credentialing team ensures that every provider we employ meets the highest... .... Position Overview We are seeking a Credentialing Specialist to support provider enrollment, credentialing, renewals, and...
- Essen Health Care is looking for a Credentialing Specialist to assist with administrative functions in New York. Key responsibilities include processing Medicaid applications and ensuring data integrity. The ideal candidate should have a Health-Related Bachelor's Degree...
- ...Making a Difference Licensed Behavior Analyst Professional Services (LBAPS) is seeking a highly organized and detail-oriented Credentialing Specialist to join our growing team. This role is essential in ensuring providers remain fully credentialed, compliant, and prepared...
- Brooklyn-based healthcare organization is seeking a detail-oriented Provider Credentialing Specialist to manage credentialing, recredentialing, and payer enrollment, ensuring compliance and timely onboarding for providers. You will verify licenses, DEA, certifications,...
- ...perspectives to our team as we work together to shape the future of eye care in New York. Job Overview Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care at Eyepic Eye Care. Responsible...Full timeWork at office
- Duties/Responsibilities Credential providers, facilities, and vendors in accordance with regulations and Healthfirst policy. Prepare presentations for the quarterly credentialing and delegate vendor oversight committee meetings. Facilitate pre-delegation and delegation...Work at officeLocal area
- Capital Health is seeking an Insurance Enrollment and Credentialing Coordinator to manage end-to-end credentialing and enrollment, aligning providers with payer requirements to safeguard revenue. The role emphasizes accuracy, data integrity, and cross-system coordination...Full time
$60k - $70k
Credentialing Specialist job at LifeMD. New York, NY. About us LifeMD is a leading digital healthcare company committed to expanding access to virtual care, pharmacy services, and diagnostics by making them more affordable and convenient for all. Focused on both treatment...Temporary work- ...cardiologists, advanced practitioners, nurses, and care coordinators. We are a nationwide telehealth organization seeking a Credentialing Specialist to support our growing provider network. About the Role This role is responsible for end-to-end provider credentialing...Remote work
$22 - $25 per hour
Job Summary Job Summary: The Credentialing Specialist is responsible to coordinate and assist with the day-to-day administrative functions of the Department. The selected candidate will have excellent written communication skills, be able to multitask and manage time effectively...- LifeMD in New York, NY is seeking a Credentialing Specialist to support medical licensing, credentialing processes, and payer contracts. You will ensure efficient operations, maintain provider credentialing rosters, and liaise with payors and other LifeMD departments....
- Overview Responsible for timely and accurate submission all initial hospital credentialing and payor plan enrollment for incoming providers. Responsible for timely and accurate submission all hospital recredentialing and insurance plan reenrollment for existing providers...
- ...and expanding access to evidence-based obesity care nationwide. To achieve our ambitious goals, we're looking for a Payer Credentialing Specialist to join our Operations team. This role will support all things credentialing at knownwell, and play a critical role in...Local areaRemote workWork from home
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