Credentialing and Payor Enrollment Specialist

6 days ago


Cherry Hill, New Jersey, United States PeopleShare Inc Full time

We are seeking a skilled Credentialing and Payor Enrollment Specialist to join our dynamic team at PeopleShare Inc. This role is an excellent opportunity for professionals who thrive in fast-paced environments and possess strong organizational skills.

About the Position

The ideal candidate will have a minimum of one year of experience in credentialing, with two to four years being preferred. Familiarity with payor portal software is a plus. We offer a flexible hybrid schedule for the right candidate.

This Temp-to-Permanent position is located in Cherry Hill, NJ. The compensation package includes $20-$22 per hour, with potential for higher pay based on experience.

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.
  • E nsure a high level of organization and attention to detail in all credentialing tasks.
Requirements
  • At least one year of credentialing experience; two to four 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 Work with Us?
  • 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.


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