Onboarding and Credentialing Specialist

Mai Placement

Onboarding and Credentialing Specialist

Brooklyn, NY
Full Time
Paid
  • Responsibilities

    Onboarding & Credentialing Specialist

    Brooklyn, NY (On-Site)
    $100,000 – $130,000

     

    Position Overview

    A large, multi-site healthcare organization is seeking an experienced Onboarding & Credentialing Specialist to oversee the onboarding, credentialing, recredentialing, and payer enrollment process for physicians and advanced practice providers. This role is critical to ensuring providers are fully credentialed, compliant, and able to begin seeing patients without delays. The ideal candidate will have hands-on provider credentialing experience, strong knowledge of Medicare, Medicaid, and commercial payer enrollment, and experience working in a multi-provider healthcare organization.

     

    Requirements

    3+ years of provider credentialing and onboarding experience

    Experience credentialing physicians, nurse practitioners, physician assistants, or other licensed providers

    Strong knowledge of Medicare, Medicaid, CAQH, NPPES, PECOS, and commercial payer enrollment

    Experience managing initial credentialing, recredentialing, and privileging processes

    Familiarity with New York provider licensing and regulatory requirements

    Strong organizational and follow-up skills

    Ability to manage multiple providers and deadlines simultaneously

    Proficiency with Microsoft Office and credentialing software or provider databases

    Experience in a multi-site healthcare organization, medical group, or outpatient healthcare setting preferred

     

    Responsibilities

    Coordinate onboarding for newly hired providers from offer acceptance through start date

    Ensure all required documentation, licenses, certifications, and compliance requirements are completed

    Manage initial credentialing, recredentialing, and payer enrollment

    Maintain CAQH profiles and credentialing databases

    Track licenses, DEA registrations, board certifications, malpractice coverage, and credential expirations

    Work closely with HR, providers, operations, finance, and leadership throughout onboarding

    Maintain accurate credentialing records and prepare documentation for audits

    Identify opportunities to improve onboarding and credentialing workflows

     

    Must-Haves

    Provider credentialing experience

    Medicare, Medicaid, and commercial payer enrollment experience

    CAQH, PECOS, and NPPES experience

    Experience in a multi-provider healthcare organization

    Strong attention to detail and organizational skills

    Ability to manage multiple credentialing files simultaneously

     

    Email resume to: frimie@maiplacement.com