Onboarding and Credentialing Specialist

Mai Placement • Brooklyn, NY

1d • Onsite

About The Position

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
• 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

Nice To Haves

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

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed