Provider Credentialing & Enrollment Specialist

Ezra Medical Center

New York (NY)

On-site

USD 52,000 - 76,000

Full time

10 days ago

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Benefits offered by this job

401(k)
Disability Insurance
Health Insurance
Life Insurance
Paid Time Off
Vision Insurance

Job summary

Ezra Medical Center in Brooklyn, NY is seeking an experienced Credentialing Specialist to ensure providers are properly credentialed, enrolled, and maintained with Medicare, Medicaid, and commercial carriers.

You will manage CAQH, payer enrollments, and CAQH with Monday.com, coordinating with providers and internal teams to keep credentialing on track and compliant. Strong attention to detail and communication are essential.

Qualifications

  • 3+ years of provider credentialing and payer enrollment experience.
  • Experience with Medicare, Medicaid, and commercial insurance.
  • Knowledge of CAQH management and regulatory requirements.
  • Strong written and verbal communication.

Responsibilities

  • Complete initial and recredentialing applications for providers.
  • Maintain credentialing files and documentation.
  • Enroll providers with Medicaid and other payers.
  • Monitor status and follow up with payers.
  • Manage CAQH profiles and required attestations.
  • Coordinate onboarding activities and audits.

Skills

Organizational skills
Attention to detail
Time management
Communication skills
Multitasking
Independent and collaborative

Education

Associate's Degree
Bachelor's Degree

Tools

CAQH
PECOS
Insurance payer portals
Monday.com

Job description

Ezra Medical Center in Brooklyn, NY is seeking an experienced Credentialing Specialist to ensure providers are properly credentialed, enrolled, and maintained with Medicare, Medicaid, and commercial carriers.

You will manage CAQH, payer enrollments, and CAQH with Monday.com, coordinating with providers and internal teams to keep credentialing on track and compliant. Strong attention to detail and communication are essential.

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