About this opportunity
Ezra Medical Center lists this Credentialing Specialist opportunity in manhattan, New York. Review the employer’s description below for duties, qualifications and application requirements.
Job description
About Ezra Medical Center
Ezra Medical Center is a trusted, multi-specialty healthcare provider proudly serving the Brooklyn community for over 18 years. With a commitment to compassionate, high-quality care, our services span across:
Internal Medicine & Pediatrics
Dental Clinic
Aqua and Physical Therapy
Vision Center
Learn more about us at:
Position Overview
We are seeking an experienced, highly organized, and detail-oriented Credentialing Specialist to join our growing team at Ezra Medical Center. This position plays a critical role in ensuring healthcare providers are properly credentialed, enrolled, and maintained with Medicare, Medicaid, and commercial insurance carriers. The ideal candidate will possess strong knowledge of credentialing processes, payer enrollment requirements, CAQH management, and regulatory compliance while maintaining excellent communication with providers, payers, and internal stakeholders.
The successful candidate will utilize Monday.Com to manage credentialing workflows, monitor application progress, coordinate provider onboarding activities, and ensure timely completion of all credentialing requirements.
Key Responsibilities
Provider Credentialing
Complete and submit initial credentialing and recredentialing applications for healthcare providers.
Verify provider qualifications, including:
Medical licenses
DEA registrations
Board certifications
Education and training
Employment history
Malpractice insurance coverage
Maintain accurate and complete provider credentialing files and documentation.
Payer Enrollment
Enroll providers with:
Medicare
Medicaid
Commercial insurance carriers
Monitor application status and proactively follow up with payers to ensure timely approvals.
Manage provider additions, updates, and terminations with insurance carriers.
CAQH Management
Maintain and update provider profiles within CAQH.
Ensure all supporting documentation remains current and properly attested according to required timelines.
Compliance & Monitoring
Track expiration dates for licenses, certifications, malpractice insurance, and other provider credentials.
Conduct routine audits to ensure credentialing files remain accurate and compliant.
Stay informed of changes in credentialing regulations, payer requirements, and industry best practices.
Provider Support
Serve as the primary point of contact for providers regarding credentialing and enrollment inquiries.
Assist providers with obtaining, renewing, and maintaining required credentials.
Recordkeeping & Reporting
Maintain credentialing databases, tracking systems, and provider records.
Generate reports related to credentialing status, enrollment progress, and upcoming expirations.
Ensure all documentation is organized, complete, and audit-ready.
Collaboration
Partner closely with:
Human Resources
Medical Staff Offices
Practice Managers
Revenue Cycle and Billing Teams
Insurance Representatives
Coordinate provider onboarding activities to prevent delays in patient care and reimbursement.
Qualifications
Education
Associate's Degree, Bachelor's Degree, or equivalent professional experience preferred.
Experience
Minimum of 3 years of provider credentialing and payer enrollment experience required.
Experience working with Medicare, Medicaid, and commercial insurance credentialing processes.
Technical Skills
CAQH
PECOS
Insurance payer portals
Monday.Com or similar project management software
Strong knowledge of credentialing workflows and regulatory requirements.
Core Competencies
Exceptional organizational and time-management skills.
Strong attention to detail and follow-through.
Ability to manage multiple providers and credentialing projects simultaneously.
Excellent written and verbal communication skills.
Ability to work independently and collaboratively in a fast-paced healthcare environment.
Benefits
As a full-time team member at Ezra Medical Center, you'll receive a comprehensive benefits package, including:
401(k)
Dental Insurance
Disability Insurance
Health Insurance
Life Insurance
Paid Time Off
Vision Insurance
Additional Details
Work Location: th Street Brooklyn, NY 11218
COVID-19 Protocols: PPE provided, temperature checks, and social distancing protocols in place as needed.
Apply Today
Are you an experienced credentialing professional looking to make an impact in a mission-driven healthcare organization?
Join Ezra Medical Center as our next Provider Credentialing Specialist and help ensure our providers can deliver exceptional patient care through efficient credentialing, enrollment, and compliance management
Worksite address
manhattan, NY, 10024, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.