Physician Credentialing Specialist (Part-Time)

Employment Type: Part-Time | W2 Employee

About the role

Maiden Lane Medical is seeking an experienced Physician Credentialing Specialist to oversee provider credentialing, payer enrollment, and recredentialing for our growing multi-specialty practice. This role ensures physicians and advanced practice providers are enrolled with commercial and government payers in a timely and accurate manner to support uninterrupted patient care and revenue cycle operations.

Responsibilities

• Manage initial credentialing and recredentialing for physicians and advanced practice providers.
• Complete and submit payer enrollment applications for commercial insurance plans, Medicare, and Medicaid.
• Maintain and update provider information in CAQH and other credentialing databases.
• Monitor application status and proactively follow up with insurance payers to expedite approvals.
• Track credentialing expirations, including licenses, DEA registrations, board certifications, malpractice insurance, and payer recredentialing deadlines.
• Coordinate with providers to obtain required documentation and signatures.
• Maintain accurate credentialing files and ensure compliance with regulatory and payer requirements.
• Collaborate with Operations, Revenue Cycle, and Clinical Leadership regarding provider enrollment status.
• Develop and maintain credentialing reports and dashboards, including:
  • New applications submitted
  • Pending applications
  • Approved enrollments
  • Recredentialing deadlines
  • Providers awaiting payer approval
• Assist with provider credentialing and payer enrollment for new practice locations, telehealth services, and multi-state expansion initiatives.
• Identify opportunities to improve credentialing workflows and reduce enrollment turnaround times.

Requirements

• Minimum 3 years of physician credentialing experience required.
• Experience credentialing physicians and advanced practice providers with commercial payers, Medicare, and Medicaid.
• Strong knowledge of CAQH ProView, NPPES, PECOS, and payer enrollment processes.
• Experience working with multi-specialty medical practices preferred.
• Excellent organizational skills with strong attention to detail.
• Ability to manage multiple projects and meet deadlines independently.
• Proficiency with Microsoft Office and credentialing software.

Preferred Qualifications

• Experience supporting multi-state medical practices and/or telehealth organizations preferred.
• Familiarity with eClinicalWorks (eCW) or similar electronic health record systems.
• Experience with New York and multi-state payer enrollment.

Benefits

• Flexible remote work schedule (3 days per week).
• Competitive hourly compensation based on experience.
• Collaborative, physician-led culture.
• Opportunity to support the continued growth of a rapidly expanding multi-specialty practice.

Pay

$40–$50 per hour