Early Intervention Credentialing Manager

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)