[Hiring] Credentialing & Enrollment Coordinator @The Jewish Board

Role Description

The Credentialing & Enrollment Coordinator manages the end-to-end credentialing, re-credentialing, and payer enrollment processes for all medical and behavioral health providers within The Jewish Board. Operating remotely as an offshore team member based in Mexico, Peru, or Colombia, this role ensures 100% compliance with federal and New York State payer regulations, focusing heavily on PECOS, OPRA, and state mental hygiene frameworks. The Coordinator will leverage artificial intelligence (A.I.) software and advanced databases to optimize tracking, analyze shifting state mandates, and streamline inter-departmental workflows.

• Coordinate closely via digital platforms with New York-based Human Resources, Recruitment, and Program Directors to efficiently onboard new employees, secure necessary working credentials, and safeguard organizational billing relationships across The Jewish Board's multiple clinic locations.

Qualifications

• Bachelor’s Degree in Healthcare Administration, Human Services, Business, or a related field preferred (equivalent direct experience fully considered).
• Professional Designations: Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) designation is preferred, but not required.
• Minimum 3–5 years of healthcare credentialing and provider enrollment experience, with documented exposure to United States healthcare insurance, behavioral health, mental health clinics, or social services structures.
• C1/C2 Professional level written and spoken English to effectively interface with US-based staff, clinicians, and external insurance billing entities.

Requirements

• Deep understanding of US healthcare compliance, NCQA standards, and government billing regulations.
• High flexibility and documented comfort using Tableau for reporting, alongside generative A.I. platforms (Claude, Microsoft Copilot) to maximize daily workflow efficiency.
• Mastery of PECOS, NPPES, CAQH ProView, and familiarity with New York State Medicaid / eMedNY / OMH / OASAS provider enrollment registry workflows.
• Ability to maintain focus and review high volumes of digital data, regulatory documents, and complex spreadsheets.
• Must possess the cognitive capacity to multi-task across multiple software platforms and A.I. tools efficiently in a remote setting.
• Must possess a reliable, high-speed, secure internet connection capable of managing heavy digital databases, video conferencing, and A.I. tools seamlessly.

Benefits

• Prolonged periods of sitting or standing at a desk and working on a computer.