Provider Credentialing Onboarding Specialist

The Credentialing Onboarding Specialist plays a critical role in delivering a smooth, high-touch onboarding experience for new healthcare providers. Working under general supervision, this position supports the end-to-end credentialing and payer enrollment processes by gathering essential documentation, entering accurate provider data into internal platforms, and reviewing completed applications to ensure they are complete and ready for processing. The Onboarding Specialist acts as a responsive coordinator, ensuring required tasks are completed accurately and on time to support target provider start dates.

Primary Job Duties:

• Serve as an accessible, supportive point of contact for onboarding providers, guiding them through required paperwork and baseline expectations.
• Deliver responsive, polite, and detail-oriented customer service to ensure providers feel supported and informed throughout the initial onboarding steps
• Maintain ongoing tracking records and communicate routine status updates to providers, the Credentialing/Enrollment teams, and local practice managers.
• Escalate complex issues, missing documentation, or potential timeline delays to team leads or managers in a timely manner.
• Request, collect, and verify foundational documents from providers (e.g., licenses, DEA certificates, diplomas, malpractice insurance, peer references).
• Review incoming credentialing and payer enrollment applications, CAQH profiles, and supporting packages to ensure completeness, accuracy, and readiness for credentialing and enrollment processing.
• Create and update provider profiles in internal databases, ensuring high accuracy and compliance with standardized formatting.
• Work closely with cross-functional administrative teams (Operations, Implementation, Credentialing, Enrollment) to transfer verified provider information efficiently.
• Other duties as assigned