Payer Credentialing Specialist

Job Summary

A company is looking for a Payer Credentialing Specialist to manage staff payer credentialing processes.

Key Responsibilities

• Ensure timely and accurate submission of credentialing applications for providers
• Maintain active Medicare and Medicaid enrollments for eligible providers
• Track and maintain required documentation to ensure compliance and accuracy

Required Qualifications, Training, and Education

• Experience in payer credentialing or related field
• Knowledge of Medicare and Medicaid enrollment processes
• Familiarity with CAQH, PECOS, and other payer systems
• Ability to manage multiple tasks and maintain organized records
• High school diploma or equivalent; relevant certifications preferred