Clinical Provider Credentialing & Enrollment Specialist, 2+ years exp
Pro Bono Net
Clinical Provider Credentialing & Enrollment Specialist, 2+ years exp
- Category
- Healthcare
- Company
- Curect Neuropsychology
Who We Are
We are a dynamic, rapidly expanding mental health practice specializing in psychology and neuropsychology, with established locations across multiple states and a clear trajectory of continued growth. Our organization is committed to delivering exceptional patient care while building efficient, scalable operations to support our expansion.
Who You Are
We are seeking a Credentialing Coordinator to join our team in a full-time capacity. This is an in-person position based at our Rockville Centre, NY headquarters.
What You'll Do
This role offers significant responsibility and visibility within a fast-growing company. You will manage the full provider enrollment process for commercial payers and Medicare, owning the day-to-day credentialing work with support from a modern credentialing platform to streamline certain tasks. The ideal candidate is highly motivated, detail-oriented, and ready to bring industry insight, leadership, and intelligent oversight to help shape and scale our credentialing operations.
Key Responsibilities
- Perform timely follow-up with insurance companies in accordance with payer guidelines and department standards
- Track all follow-up deadlines and use established department processes
- Escalate any issues or delays to management before deadlines are missed
- Proactively communicate changes and updates to relevant departments and leadership
- Maintain accurate, real-time documentation of every payer interaction (date of contact, representative name, reference number if provided, summary of discussion/request, next steps required; save related emails as proof if no reference number is given)
- Make daily updates to credentialing files and payer-specific spreadsheets following each action taken
- Ensure contract details and status updates are accurately reflected in designated spreadsheets
- Support CAQH re-attestations, obtain payer contracts (including fee schedules), and verify provider loading
- Assist with un-credentialing of departing providers
- Collect and review preliminary credentialing packets from new clinicians (malpractice insurance, NPI, licenses, education, etc.)
What You Bring
- 2–4 years of experience in credentialing, insurance verification, payer enrollment, or medical billing
- Strong organizational skills and exceptional attention to detail
- Proficiency with online payer portals (e.g., Availity, CAQH) and Excel spreadsheets
- Ability to work independently, prioritize tasks, and escalate appropriately
- Experience in mental health, psychology, or behavioral health preferred but not required
- High school diploma required; relevant certification (e.g., CPCS, CPMSM) a plus
What We Offer
- Full-time (40 hours/week) – flexible scheduling available
- Hourly rate: $26–$31 per hour (based on New York/Long Island market rates for experienced credentialing coordinators)
- A full-time position is eligible for the following benefits: a comprehensive range of medical benefits (which includes medical, dental, and vision insurance), a 401(k) plan, and paid time off.
- Significant opportunity for growth, advancement, and impact as the company continues to expand rapidly
Curect is committed to a diverse and inclusive workplace. We are an equal opportunity employer and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
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