Credentialing & Payer Enrollment Specialist

AndHealth; Columbus (OH); On-site; USD 40,000 - 65,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Paid time off

Short-term Disability

Long-term Disability

Job summary

AndHealth is hiring a Credentialing Specialist in Columbus, OH to manage payer enrollment and credentialing for licensed professionals. You will collaborate with internal teams to ensure compliance and maintain high standards of patient safety.

The role requires 2+ years of credentialing experience, strong attention to detail, and proficiency with credentialing software. You will support audits, reports, and process improvements within a collaborative team.

Qualifications

• 2+ years of healthcare credentialing or payer enrollment experience.
• Bachelor’s degree preferred.
• Impeccable attention to detail and adaptability to changing processes.

Responsibilities

• Lead payer enrollment activities for AndHealth’s partners, ensuring timely and accurate submission of all payer enrollment documents to partners.
• Accurately input and track payer enrollment statuses for all partners, maintaining comprehensive records for all activities.
• Prepare and distribute reports on enrollment status and credentialing activities for internal use and external audits.
• Establish and maintain effective communication with payer representatives and AndHealth’s partners to resolve enrollment and credentialing issues.
• Create and maintain internal guides outlining payer enrollment processes and best practices.

Skills

Healthcare credentialing

Payer enrollment

Attention to detail

Microsoft Office

Google Workspace

Education

Bachelor’s degree

Tools

Credentialing software

Database systems

Job description

AndHealth is hiring a Credentialing Specialist in Columbus, OH to manage payer enrollment and credentialing for licensed professionals. You will collaborate with internal teams to ensure compliance and maintain high standards of patient safety.

The role requires 2+ years of credentialing experience, strong attention to detail, and proficiency with credentialing software. You will support audits, reports, and process improvements within a collaborative team.