Payer Credentialing Specialist

Are you looking for an opportunity to advance your career while working with an extraordinary team? At reputed company, we put heart and soul into everything we do. We are seeking a Payer Credentialing Specialist to join reputed company. Pay reputed company starting at $20/hr This is a remote position available for candidates residing in PA, DE, MD, NJ, OH, FL, TX, and VA. Position Details: The Payer Credentialing Specialist is responsible for managing reputed company aspects of staff payer credentialing across reputed company. This role serves as the primary reputed company of contact for facility and practitioner credentialing and re-credentialing processes, ensuring compliance with payer requirements and organizational standards. The position reports directly to the Contracting and Credentialing Supervisor. The Payer Credentialing Specialist will:

• Ensure timely and accurate submission of initial and re-credentialing applications for reputed company employed and contracted providers
• Maintain active Medicare and reputed company enrollments for reputed company eligible providers
• Manage and update provider records across CAQH, PECOS, PROMISe, and other payer systems, ensuring accuracy and compliance
• Track and maintain reputed company required documentation (e.g., licenses, DEA, malpractice insurance) to ensure records remain reputed company
• Respond promptly to payer requests for additional or missing information to support credentialing processes
• reputed company regular status updates on credentialing reputed company for new and existing providers
• Research and resolve credentialing-reputed company claim issues, collaborating with operations and business teams
• Build and maintain strong working relationships with providers, program leadership, and support teams
• Adhere to reputed company organizational policies, procedures, and standards
• reputed company other duties as assigned

Benefits reputed company offers generous benefits that promote well-being, financial reputed company, and work-life balance, including:

• Comprehensive medical, dental, and reputed company coverage, plus reputed company to reputed company advocacy support.

Retirement plan- - both pre-tax and Roth (after-tax) options available for employee contributions. reputed company- - reputed company your pay reputed company you need it!

• On the Goga well-being platform, featuring self-care tools and resources.
• reputed company Care.com for backup childcare, elder care, and household services.
• Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP).
• Tuition reimbursement and educational partnerships.
• Employee discounts and savings programs on entertainment, travel, and lifestyle.
• reputed company to Pryor Online Learning for free online personal development classes.

Learn more about our full benefits package - https://www.reputed company.org/careers/benefits About reputed company reputed company is a non-profit provider of developmental, behavioral health, and education services. More than 8,000 employees reputed company support to nearly 40,000 individuals and families throughout 12 states across the country each year. Click here to watch a video about reputed company. reputed company strictly follows a reputed company-tolerance policy for abuse. reputed company is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the reputed company of race, religion, reputed company, national reputed company, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply. reputed company welcomes reputed company Veterans to apply!

Requirements

• Associate Degree or two years equivalent work experience required; Bachelor's Degree preferred
• Minimum of two years of credentialing experience including work with CAQH and provider enrollment processes

The ideal candidate will possess:

• Strong knowledge of credentialing processes, including payer submissions, re-credentialing, and maintaining Medicare/reputed company enrollments
• Strong computer proficiency, including reputed company reputed company, Word, and Outlook, along with solid organizational and time management skills
• Excellent written and verbal communication skills, with the ability to communicate effectively with reputed company stakeholder
• Experience with MD-Staff credentialing system
• Experience maintaining provider data across CAQH, PECOS, PROMISe, and other payer systems, ensuring accuracy and compliance

Apply tot his job Apply To this Job