The Provider Credentialing Specialist owns and is fully accountable for the end-to-end credentialing and payer enrollment process for all providers at Ezra Medical Center. You will ensure timely onboarding and uninterrupted reimbursement by proactively managing applications, follow-ups, and approvals across Medicare, Medicaid, and commercial payers.

What You’ll Own

    •    Complete credentialing lifecycle for all providers — initial through recredentialing
    •    Payer enrollment and maintenance across all insurers — keeping providers active and billable
    •    Monitoring provider payer status; investigating and resolving any terminations or gaps
    •    Accurate, audit-ready provider files — licenses, DEA, board certs, malpractice, CVs
    •    CAQH profile management for all providers
    •    Expiration tracking and proactive renewals for all licenses and certifications
    •    End-to-end workflow management in Monday.com
    •    Telehealth provider credentialing including multi-state licensure
    •    Primary point of contact for providers, payers, and internal teams

    •    Minimum 3 years of provider credentialing and payer enrollment experience
    •    FQHC or multi-provider group practice experience strongly preferred
    •    Hands-on experience with CAQH, PECOS, and commercial payer portals
    •    Telehealth credentialing experience a plus
    •    CPCS or CPMSM certification preferred or willingness to obtain
    •    Strong follow-through, detail orientation, and ability to juggle multiple deadlines
    •    Monday.com or similar workflow tool experience