Job Description
Job Description
Job Description
Benefits:
- 401(k)
- Company parties
- Competitive salary
- Flexible schedule
- Opportunity for advancement
- Signing bonus
- Training & development
Dear candidate,
About Us: We are a mission-driven organization dedicated to providing high-quality early intervention services to children and families. We work with a diverse network of professionalstherapists, educators, and healthcare providersto ensure children get the support they need during their critical developmental years.
Position Overview:
We are seeking a detail-oriented and highly organized
Credentialing Specialist to support both
onboarding and
ongoing credentialing of early intervention providers. This position plays a vital role in maintaining compliance with state, federal, and payer regulations by ensuring all providers are properly credentialed and re-credentialed in a timely manner.
Key Responsibilities:
Onboarding Credentialing
- Process initial credentialing applications for new providers (SLPs, OTs, PTs, educators, etc.)
- Verify education, licensure, certifications, background checks, and references
- Collect and maintain all required documentation in compliance with state and payer standards
- Coordinate with Human Resources and Clinical Supervisors to facilitate smooth onboarding
Ongoing Credentialing
- Monitor expiring licenses, certifications, and insurance documents
- Initiate and process re-credentialing for Medicaid, commercial payers, and other agencies
- Maintain up-to-date records in credentialing databases and provider files
- Ensure timely updates to provider profiles with health plans and regulatory agencies
Compliance & Communication
- Maintain thorough understanding of state early intervention regulations and payer credentialing requirements
- Communicate proactively with providers regarding documentation needs and deadlines
- Prepare reports and audits to ensure compliance and data accuracy
- Support audits from external agencies and internal quality reviews
Qualifications:
- Associates or Bachelors degree preferred (or equivalent experience)
- 2+ years of experience in credentialing, healthcare administration, or early intervention services
- Familiarity with Medicaid/insurance credentialing requirements and early intervention systems (e.g., EI Hub, NYEIS, or equivalent)
- Strong organizational skills and attention to detail
- Proficiency with credentialing software, Excel, and cloud-based document management systems
- Excellent communication and follow-up skills
Preferred Skills:
- Experience working in early childhood intervention or special education settings
- Knowledge of HIPAA and other relevant healthcare regulations
- Bilingual a plus (especially Spanish, Mandarin, or ASL)
Job Tags
Relocation package, Flexible hours,