Credentialing Specialist

The Credentialing Specialist – Payer Insurance Enrollment is responsible for managing the complete enrollment lifecycle for providers with commercial and government payers. This role ensures timely, accurate submission and maintenance of payer applications, supports the onboarding process for newly hired providers, and works closely with payers, internal stakeholders, and provider groups to ensure compliance and reduce reimbursement delays.

Requirements

• High school diploma or equivalent.
• 2+ years of experience in provider credentialing, payer enrollment.
• Working knowledge of Medicare/Medicaid processes and commercial payer requirements.
• Experience with PECOS, NPPES, CAQH, Availity, and similar platforms.
• Strong attention to detail, ability to manage multiple deadlines, and excellent follow-up skills.