Payor Credentialing Specialist I
Core
Support the credentialing team by managing provider portal access, handling EDI/EFT/ERA enrollments, and ensuring accurate submission of credentialing documentation for commercial and government payors.
Role type
Administrative Payor Credentialing Specialist
Builds
Provider access and enrollment status for GeneDx and third-party users
Domain
Healthcare administration / Payer relations
Deliverable
client delivery
Required skills
Credentialing processes, EDI/EFT/ERA enrollment, Payor portal management, Database maintenance, Regulatory compliance, Communication
Preferred skills
Healthcare administrative experience, Microsoft Office Suite, Monday.com, Salesforce
Responsibilities
Prepare and submit credentialing applications, Maintain and update credentialing databases, Assist with payor portal updates, Support EDI/EFT/ERA enrollment efforts, Communicate with internal departments to gather information, Resolve credentialing issues, Stay informed about payor regulations
Seniority
Entry-level to Junior, individual contributor