Top 4 Credentialing remote Jobs in Lake Success 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
10d
Locums Privileging Specialist (Remote)
North American Partners in Anesthesia —Melville, NY
- $24 - $33 an hour
- Full-time
- Remote
- Microsoft Outlook
- Medical office experience
- Mid-level
- Health savings account
- AD&D insurance
Credentialing Operations Manager (Dental)
Premier Care Dental Management —Melville, NY
- $80,000 - $95,000 a year
- Full-time
- Remote
- 5 years
- Adults
- Microsoft Office
- Health insurance
- Paid time off
Quick Apply
3d
Credentialing Manager
Charlie Health —New York, NY
- $70,000 - $77,500 a year
- Full-time
- Remote
- English
- Bachelor's degree
- Senior level
- Health insurance

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Locums Privileging Specialist (Remote)
North American Partners in Anesthesia —Melville, NY
Ensure accurate data of all privileging information and data entry into database. Submitting staff dues and other fees for approval and payment.
$24 - $33 an hour

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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
10 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 remote jobs in lake success ny

Provider Credentialing & Enrollment Specialist

Locums Privileging Specialist (Remote)

Credentialing Operations Manager (Dental)

Credentialing Manager

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