Top 9 Credentialing specialist remote Jobs in Brooklyn Ny

Provider Credentialing & Enrollment Specialist
PM Pediatrics Management Group —Lake Success, NY
- $33 - $36 an hour
- Part-time
- Remote
- Mid-level
- Analysis skills
- Pediatrics
Quick Apply
11d
Provider Credentialing Specialist (Healthcare)
OCLI Vision —Garden City, NY
- $24 - $27 an hour
- Full-time
- Hybrid work
- Microsoft Outlook
- Surgery
- Customer service
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9d
Credentialing Manager
Charlie Health —New York, NY
- $70,000 - $77,500 a year
- Full-time
- Remote
- English
- Bachelor's degree
- Senior level
- Health insurance
Carrier Credentials Specialist
World Insurance Associates LLC —Iselin, NJ
- Full-time
- Remote
- Research
- Mid-level
- Analysis skills
- Retirement plan
Quick Apply
9d
Credentialing Coordinator
CarePoint Health —Hoboken, NJ
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Surgery
- Paid holidays
- Dental insurance
Sr Offshore Operational Specialist
NYU Langone Health —New York, NY
- $75,000 - $105,000 a year
- Online Application
- Office
- Finance
- Analysis skills
- Wellness program
12d

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Physician Credentialing Specialist
Confidential —Saddle Brook, NJ
Familiarity with AAAHC, CMS, and state licensure regulations. Maintain compliance with *medical staff bylaws*, *AAAHC standards*, *CMS*, and applicable *state…
$22 - $24 an hour
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2d
HR and Credentialing Specialist
Choices Women's Medical Center —Jamaica, NY
Education*: Bachelor’s degree in Human Resources, Business Administration, or a related field required; Master’s degree or HR certification (SHRM-SCP or SPHR)…
From $65 an hour
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Must possess a valid National Association Medical Staff Services (NAMSS) Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified…
Remote Physician Coding Specialist II
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Provider Credentialing & Enrollment Specialist

PM Pediatrics Management Group -
Lake Success, NY

Quick Apply

Job Details

Part-time
$33 - $36 an hour
11 days ago

Qualifications

Provider enrollment for medical credentialing
Data interpretation
Medicaid regulations
Medicaid

Full Job Description

It's fun to work in a company where people truly BELIEVE in what they're doing!

We're committed to bringing passion and customer focus to the business.

Summary

**This is a part-time, temporary position with the potential to transition into a full-time role**

**This is a remote position**

**Experience in behavioral health credentialing and enrollment is a plus**

We are seeking a detail-oriented Credentialing & Enrollment Specialist to support provider enrollment, revalidation, and ongoing maintenance across multiple payors and states. This role focuses on resolving enrollment issues, reducing denials, and ensuring timely provider participation and reimbursement.

Description

Credentialing & Enrollment Support

Review and resolve enrollment with focus on state-specific requirements.
Identify and trend denial patterns to prevent recurrence (e.g., taxonomy mismatches, missing DEA, non-participating providers, admitting privileges).
Review Medicaid applications, revalidations, and facility enrollments at both group and individual levels.
Support NY ETIN and ETINS processing as required.

Experience in behavioral health credentialing and enrollment is a plus.

Roster & Reporting Management

Prepare and submit monthly rosters and uploads, including new provider additions and terminations.
Manage delegated rosters such as NY-NJ Fidelis and submissions through 3rd party vendor Medallion platform

Compliance & Payor Requirements

Track and resolve payors pending over 90 days and identify roadblocks.

Communication & Administrative Support

Manage incoming emails and correspondence and confirm appropriate mail types and follow-up actions.
Support telehealth enrollment workflows and system integrations.
Assist with administrative tasks, documentation, and audit readiness.

Performance & Process Improvement

Ensure requests submitted through 3rd party vendor Medallion are timely and accurate.
Collaborate with leadership to identify root causes of delays and prevent recurrence.

Compensation Range: $33.00 hr. - 36.00 hr.

The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. We look at compensation for each individual and based on experience and qualifications.

Qualifications

Experience minimum two years in provider credentialing and enrollment, including Medicaid/revalidations/ETIN certifications for NY/NJ states

Knowledge of CAQH, Application utilizing our 3rd party vendor platform-Medallion
Strong attention to detail and analytical skills.
Ability to manage multiple priorities in a fast-paced environment

Compensation:

Role Dependent

EEO Statement

PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

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Refine Your Search

credentialing specialist remote jobs in brooklyn ny

Provider Credentialing & Enrollment Specialist

Provider Credentialing Specialist (Healthcare)

Credentialing Manager

Carrier Credentials Specialist

Credentialing Coordinator

Sr Offshore Operational Specialist

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