Credentialing Associate

Job Summary

Ensuring healthcare providers are properly enrolled with payors, the full-time remote Credentialing Associate will manage documentation submissions, resolve enrollment issues, and track revalidation deadlines to facilitate reimbursement for services.

Key responsibilities:

• Ensure all necessary documents are submitted and current for provider enrollment and revalidation
• Act as the point of contact for resolving enrollment issues with payors
• Monitor and track revalidation deadlines to ensure timely re-enrollment and prevent reimbursement disruptions

Required qualifications:

• 1-3 years of experience in credentialing and payor enrollment
• Knowledge of State Medicaid, Medicare, and commercial health plans
• Familiarity with the PECOS system
• Experience working with major payors such as UnitedHealthcare and Aetna
• Certification in payer enrollment or healthcare administration is a plus