Payer Credentialing Specialist

Job Summary

A company is looking for a Payer Credentialing Specialist to manage all aspects of staff payer credentialing.

Key Responsibilities

• Ensure timely and accurate submission of initial and re-credentialing applications for providers
• Maintain active Medicare and Medicaid enrollments for eligible providers
• Manage and update provider records across various payer systems for compliance

Required Qualifications, Training, and Education

• Experience in payer credentialing processes
• Knowledge of Medicare and Medicaid enrollment procedures
• Familiarity with CAQH, PECOS, and PROMISe systems
• Ability to track and maintain documentation for credentialing
• Proficiency in managing provider records and responding to payer requests