Enrollment Data & Payer Credentialing Specialist

Valley Health; United States; On-site; USD 74,000 - 93,000; Full time

Benefits offered by this job

Medical/Dental/Vision discount

Retirement Plan

Tuition Assistance

Employee Assistance Program (EAP)

Paid Holidays & PTO

Job summary

Valley Health System is seeking a Payor Enrollment Specialist to manage enrollment and credentialing for VMG providers, coordinating with payers, physicians and the medical staff office to ensure timely enrollment.

You will initiate enrollment applications, perform provider re-validation, maintain payer rosters, and support data integrity across systems and portals, with reporting to leadership to oversee enrollment operations.

Qualifications

• Minimum 3 years in provider enrollment or payer credentialing.
• College degree required.
• Strong written and verbal communication skills required.

Responsibilities

• Initiate enrollment applications and provider re-validation with payers and credentialing partners.
• Maintain provider enrollment data integrity across systems and portals; audit rosters.
• Provide reporting to support department oversight of enrollment, credentialing, and payer activities.

Skills

Interpersonal skills

Analytical skills

Communication skills

Organizational skills

Time management

Initiative

Problem solving

Professionalism

Education

College degree

Job description

Valley Health System is seeking a Payor Enrollment Specialist to manage enrollment and credentialing for VMG providers, coordinating with payers, physicians and the medical staff office to ensure timely enrollment.

You will initiate enrollment applications, perform provider re-validation, maintain payer rosters, and support data integrity across systems and portals, with reporting to leadership to oversee enrollment operations.