Credentialing Specialist

2 weeks ago


Cherry Hill, New Jersey, United States PeopleShare Full time
Credentialing/Payor Enrollment Specialist

We are seeking a skilled Credentialing/Payor Enrollment Specialist to join our team at PeopleShare. The ideal candidate will have a strong background in credentialing and payor enrollment, with a proven track record of success in ensuring timely and accurate processing of provider enrollments.

Key Responsibilities:
  • Submit initial and re-credentialing enrollment applications for payor HMO, Medicare, and Medicaid enrollments.
  • Track and follow up on submitted applications with payors, ensuring timely processing and tracking provider ID numbers and effective dates.
  • Serve as a liaison between the billing department and payors to troubleshoot claims denials related to provider enrollment issues.
  • Maintain a matrix of all facility and provider expiring credentials needed for provider enrollment.
  • Ensure a high level of organization and attention to detail in all credentialing tasks.
Requirements:
  • At least 1 year of credentialing experience; 2-4 years preferred.
  • Familiarity with payor portal software (a plus).
  • Proficiency in computer software (Excel, Word, Outlook).
  • Strong organizational skills and ability to manage multiple projects under time-sensitive deadlines.
  • Excellent written and verbal communication skills.
  • Ability to work both independently and as part of a team.
  • High school diploma or GED required.
Why You'll Thrive at PeopleShare:
  • Opportunity for growth and career development.
  • Positive, team-oriented environment with a focus on personal and professional success.
  • Flexible scheduling options for the right candidate.

If you are a detail-oriented and organized individual with a passion for credentialing and payor enrollment, we encourage you to apply for this exciting opportunity at PeopleShare.



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