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Credentialing and Enrollment Specialist
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Performance OrthoNJ, United States- Full-time
Credentialing and Enrollment Specialist
Location : On-Site in Bridgewater, NJ
Employment Type : Full-Time, Hourly
Compensation : $59,000-$64,000 per year
About Us
Performance Ortho is a leading provider of comprehensive orthopedic and outpatient care in New Jersey. With four clinic locations, an Ambulatory Surgery Center, and our corporate headquarters in Bridgewater, we’re celebrating 24 years of growth and excellence. Our holistic approach includes a wide array of services—Chiropractic, Physical Therapy, Acupuncture, Occupational Therapy, and Orthopedic Surgery—all aimed at delivering the highest quality of patient care. We pride ourselves on fostering a collaborative, supportive work environment where our team members are empowered to thrive and grow.
Overview
We are seeking a detail-oriented and organized Credentialing and Enrollment Specialist to facilitate the seamless integration of new employees and healthcare providers into our practice. In this role, you will manage the onboarding process, including collecting and completing essential human resources, credentialing, compliance, and provider enrollment documentation. Additionally, you will be responsible for continuous compliance upkeep, ensuring that all provider licenses and credentialing remain current and in line with regulatory requirements.
Responsibilities
- Document Management : Collect, review, process and maintain all required onboarding documentation for new providers, including credentialing, compliance, human resources and enrollment paperwork.
- Credentialing and Compliance : Verify and maintain credentials and qualifications of new employees and healthcare providers, ensuring compliance with regulatory and industry standards.
- Provider Enrollment : Coordinate and submit enrollment applications with local, state, and federal agencies, licensing boards, and insurance providers.
- Continuous Compliance Upkeep : Monitor expiration dates for licenses, certifications, and credentialing documents to ensure all provider credentials are up-to-date.
- Record Keeping : Maintain organized records of onboarding activities, tracking status and compliance requirements.
- Communication : Act as the liaison between new providers, internal teams, and external agencies to facilitate a smooth onboarding experience and continuous compliance.
- Process Improvement : Assist in identifying and implementing enhancements to the onboarding and credentialing processes to improve efficiency and accuracy.
- Regulatory Updates : Stay informed of changes in credentialing laws, standards, and best practices to ensure ongoing compliance.
Requirements
Preferred