Credentialing Coordinator

Overview

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most vulnerable and underserved residents.

Founded in 1999, we’ve grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women’s health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it.

We’re looking for talented, motivated individuals to join our growing team. Whether you’re a medical provider, administrator, or operations professional, there’s a career here for you. Join us in making a real difference in the health of our community.

Credentialing Coordinator’s primary objective to coordinate and support the day-to-day credentialing activities for clinical providers, including Primary Care Providers, Specialists, and Ancillary Providers. The role requires an assertive, proactive individual who takes initiative, learns quickly, and follows instructions accurately to ensure timely and compliant credentialing outcomes.

• Comply with Credentialing Policy and Procedures, Departmental Guidelines and Company Policy
• Follow established timelines for processing and completion of applications
• Process and submit Medicaid initial enrollment, revalidation, and re-credentialing applications across multiple states, including NY, TX, OH, PA, MA, NE, and NJ, in compliance with state-specific requirements.
• Navigate and maintain enrollments within state Medicaid portals and systems (e.g., NYS Medicaid, TMHP, MITS, PROMISe™, MA MMIS, NJ MMIS), ensuring accuracy and completeness of provider records.
• Monitor application statuses, follow up on outstanding actions, and respond promptly to requests for additional information or corrections.
• Track state-specific revalidation cycles and deadlines to prevent lapses, denials, or terminations in Medicaid participation.
• Coordinate with internal teams such as Office Administrators and Revenue Cycle Management (RCM) to resolve Medicaid enrollment issues impacting claims and reimbursement.
• Work directly with providers and practice staff to obtain, verify, and maintain required documentation, including licenses, DEA, board certifications, practice locations, and ownership disclosures.
• Identify, troubleshoot, and elevate complex or delayed Medicaid enrollment issues, including system errors, site visits, or compliance flags.
• Maintain accurate credentialing logs, trackers, and documentation to support audits and reporting requirements.
• Ensure all Medicaid credentialing activities adhere to federal, state, and organizational compliance standards.
• Complete other tasks or projects assigned
• Provide back-up to other Credentialing staff as necessary

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Education

Experience:

• Bachelor’s Degree in a Health-Related Discipline:
  Public Health, Healthcare Administrative, Health Service, Psychology or Sociology Highly Preferred
• High School Diploma Required

Work Experience:

• Minimum of at least six months in a healthcare setting: providing clerical support or medical credentialing assistance

Preferred:

• Certified Provider Credentialing Specialist (CPCS) or Certified…