Credentialing Coordinator

Essen Medical Associates•Bronx, NY

About The Position

At Essen Health Care, we care for that! As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today! Job Summary Credentialing Coordinator’s primary objective to coordinate and support the day-to-day credentialing activities for clinical providers, including Primary Care Providers, Specialists, and Ancillary Providers. The role requires an assertive, proactive individual who takes initiative, learns quickly, and follows instructions accurately to ensure timely and compliant credentialing outcomes.

Requirements

Bachelor’s Degree in a Health-Related Discipline: Public Health, Healthcare Administrative, Health Service, Psychology or Sociology Highly Preferred
High School Diploma Required
Minimum of at least six months in a healthcare setting: providing clerical support or medical credentialing assistance
Strong interpersonal and communication skills with an ability to work effectively with a wide range of people, teams, managers, supervisors, and vendors.
Proficient with MS Office (outlook, word, excel, power point, access)
Excellent organizational and time-management skills.
Excellent verbal and written communication skills.
Ability to analyze, interprets and draws inferences from research findings, and prepares reports.
Working knowledge of clinical operations and procedures.
Informational research skills.
Ability to use independent judgment to manage and impart confidential information.
Database management skills including querying, reporting, and document generation.
Ability to make administrative/procedural decisions and judgments
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Full-Time Position Monday through Friday from 9:00 a.m. to 5:30 p.m. – 40 hours work week
No travel is expected or required for this position.

Nice To Haves

Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) a plus
Experience in a multi-specialty medical group or large healthcare organization
Process improvement or workflow optimization experience

Responsibilities

Comply with Credentialing Policy and Procedures, Departmental Guidelines and Company Policy
Follow established timelines for processing and completion of applications
Process and submit Medicaid initial enrollment, revalidation, and re-credentialing applications across multiple states, including NY, TX, OH, PA, MA, NE, and NJ, in compliance with state-specific requirements.
Navigate and maintain enrollments within state Medicaid portals and systems (e.g., NYS Medicaid, TMHP, MITS, PROMISe™, MA MMIS, NJ MMIS), ensuring accuracy and completeness of provider records.
Monitor application statuses, follow up on outstanding actions, and respond promptly to requests for additional information or corrections.
Track state-specific revalidation cycles and deadlines to prevent lapses, denials, or terminations in Medicaid participation.
Coordinate with internal teams such as Office Administrators and Revenue Cycle Management (RCM) to resolve Medicaid enrollment issues impacting claims and reimbursement.
Work directly with providers and practice staff to obtain, verify, and maintain required documentation, including licenses, DEA, board certifications, practice locations, and ownership disclosures.
Identify, troubleshoot, and escalate complex or delayed Medicaid enrollment issues, including system errors, site visits, or compliance flags.
Maintain accurate credentialing logs, trackers, and documentation to support audits and reporting requirements.
Ensure all Medicaid credentialing activities adhere to federal, state, and organizational compliance standards.
Complete other tasks or projects assigned
Provide back-up to other Credentialing staff as necessary
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.