Job Location : New York,NY, USA
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 professionals—therapists, educators, and healthcare providers—to 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:
Associate's or Bachelor's 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)