Credentialing Specialist — Hybrid, Multi-State Enrollments

Golden Steps ABA; Englewood Cliffs (NJ); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Hybrid work schedule

Competitive benefits

Job summary

Golden Steps ABA is seeking a detail-oriented Credentialing Specialist to manage provider credentialing and payer enrollment across multiple states. The role ensures clinicians are credentialed accurately so services can begin promptly.

The ideal candidate has experience with CAQH, the NPI Registry, and Medicaid/commercial enrollments, with strong organizational and communication skills to manage deadlines across states.

Qualifications

• Two years of healthcare credentialing, provider enrollment, or payer enrollment experience.
• Hands-on experience with CAQH and the NPI Registry.
• Experience submitting applications to Medicaid and commercial payers.
• Strong attention to detail and record-keeping.
• Ability to manage a high-volume workload with deadlines.
• Proficiency with Microsoft Office or Google Workspace.
• Able to work independently while collaborating across departments.

Responsibilities

• Complete initial credentialing, recredentialing, and payer enrollment applications for providers and entities.
• Enroll providers with Medicaid and commercial plans per state requirements.
• Research and maintain current credentialing and enrollment requirements across states.
• Create and maintain provider files with licenses, certifications, education, employment history, attestations, and other documentation.
• Maintain CAQH profiles with updates and re-attestations.
• Create and update NPI records when needed.
• Complete payer revalidation and recredentialing deadlines.
• Track applications from submission to approval and follow up with payers.
• Maintain accurate records of payer applications, login credentials, approval dates, and renewal requirements.
• Identify missing or inconsistent provider information and coordinate resolution.
• Communicate credentialing status, delays, and next steps to leadership.
• Collaborate with Billing and Operations to support provider activation.
• Assist with payer contracting documentation and credentialing audits.
• Protect confidential provider and organizational information.

Skills

CAQH

NPI Registry

Medicaid enrollment

Payer enrollment

Attention to detail

Time management

Communication skills

Microsoft Office / Google Workspace

Education

High school diploma or equivalent

Tools

CAQH system

NPI Registry access

Job description

Golden Steps ABA is seeking a detail-oriented Credentialing Specialist to manage provider credentialing and payer enrollment across multiple states. The role ensures clinicians are credentialed accurately so services can begin promptly.

The ideal candidate has experience with CAQH, the NPI Registry, and Medicaid/commercial enrollments, with strong organizational and communication skills to manage deadlines across states.