Payor Credentialing Specialist I

GeneDx; Gaithersburg (MD); Remote; USD 38,000 - 41,000; Full time

Job summary

GeneDx is seeking a Payor Credentialing Assistant to support the credentialing team with provider portal access for approved GeneDx and third‑party users, EDI/EFT/ERA enrollments, and accurate credentialing data for payors. This fully remote role ensures timely submissions and compliance across payor regulations.

The ideal candidate has 1–2 years in healthcare administration (credentialing preferred), familiarity with Medicare/Medicaid, and proficiency in Microsoft Office, Monday.com, and

Qualifications

• High School Diploma or GED required; bachelor's degree preferred.
• 1–2 years of healthcare administrative experience, credentialing preferred.
• Familiar with Medicare, Medicaid, Managed Medicaid Care Organizations, and commercial/private health plans.
• Proficiency in Microsoft Office Suite, Monday.com, and Salesforce.

Responsibilities

• Assist in the preparation and submission of credentialing applications for payors
• Maintain and update credentialing databases and files, ensuring all documentation is complete and accurate
• Assist with payor portal updates, providing access for both internal and external users, as needed
• Support EDI/EFT/ERA enrollment efforts with payors
• Communicate with internal departments to gather necessary information requested by our payors
• Assist in resolving any issues or discrepancies related to credentialing
• Stay informed about changes in payor requirements and regulations
• Support the credentialing team with administrative tasks as needed

Skills

Organization

Attention to detail

Communication

Time management

Education

High School Diploma or GED

Bachelor's degree preferred

Tools

Microsoft Office Suite

Monday.com

Salesforce

Job description

GeneDx (Nasdaq: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision medicine as the standard of care. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world's largest, rare disease data sets. For more information, please visit www.genedx.com.

Summary

The Payor Credentialing Assistant supports the credentialing team by assisting with provider portal access for approved GeneDx and third-party users, EDI/EFT/ERA enrollments direct to payors or via Xifin, and by providing accurate credentialing data for our commercial and government payors. This role ensures that all necessary documentation is accurately prepared and submitted in a timely manner, helping to maintain compliance with payor regulations.

Job Responsibilities

• Assist in the preparation and submission of credentialing applications for payors
• Maintain and update credentialing databases and files, ensuring all documentation is complete and accurate
• Assist with payor portal updates, providing access for both internal and external users, as needed
• Support EDI/EFT/ERA enrollment efforts with payors
• Communicate with internal departments to gather necessary information requested by our payors
• Assist in resolving any issues or discrepancies related to credentialing
• Stay informed about changes in payor requirements and regulations
• Support the credentialing team with administrative tasks as needed

People Manager - No

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Competencies

Mathematical, computer, reasoning, and language skills at the professional level.

Education and/or Experience

• High School Diploma or GED required; bachelor's degree preferred
• Minimum of 1-2 years of experience in a healthcare administrative role, preferably in credentialing
• Familiar with Medicare, Medicaid, Managed Medicaid Care Organizations, and commercial/private health plans

• Ability to identify and cultivate relationships with key points of contact to drive business objectives
• Strong organizational ability, proficient communication skills, and excellent attention to detail
• Ability to manage multiple tasks simultaneously in a fast-pace, deadline driven environment
• Proficiency in Microsoft Office Suite, Monday.com, and Salesforce, preferred

Certificates, Licenses, Registrations

• None

Work Environment

This is a fully remote position. The employee will work from a home office or other suitable remote location with reliable high-speed internet access. Work is performed in a climate-controlled environment using standard office equipment including computer, phone, and video conferencing tools. Your standard work schedule and hours will be established in collaboration with your leader and may be adjusted to align with evolving business needs.

Physical Demands

This is a sedentary role requiring prolonged periods of sitting while working at a computer.

• Sitting for extended periods (up to 8 hours per day)
• Repetitive use of hands and fingers for typing and mouse operation
• Visual acuity for reading computer screens and documents
• Ability to communicate effectively via phone and video calls
• Occasional lifting of up to 10 pounds (office supplies, equipment)

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

Acknowledgements

The above job description is not intended to be an all-inclusive list of duties and standards of the position.

Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.

Pay Transparency, Budgeted Range

$27.77—$29.87 USD

A culture that plays to win, because patients are counting on us

At GeneDx, we're driven by urgency and purpose: helping patients get diagnosed earlier. Our mission, to empower everyone to live their healthiest life through genomics, drives our team to make a tangible impact each day – and shapes our culture where high standards, strong teamwork, and meaningful ownership are the norm. We act with intention, support one another, and deliver work we're proud to put our names on.

Here's what you can expect day to day:

• Play like a champion (step up, redefine what's possible, own it)

We bring energy, focus, and a bias for action. We step up, take initiative, and deliver on our commitments – with quality, speed, and care.

• Think bigger (stretch beyond, courage not consensus)

We push past the obvious. We challenge assumptions, raise the bar, and make thoughtful, decisive calls — choosing progress over perfection.

• Grow fast (be curious, speak up, be agile)

We stay curious, ask questions, and share direct feedback with respect. We adapt quickly and keep learning through collaboration and continuous improvement.

If you're motivated by meaningful work, a fast-moving environment, and teammates who care deeply about outcomes, you'll thrive at GeneDx.

At GeneDx, we believe in taking care of our people. We provide competitive compensation and benefits that reflect local market practices and legal requirements in each country where we operate, helping employees thrive both professionally and personally.

We welcome everyone regardless of their background. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, gender, gender identity, sexual orientation, protected veteran status, disability, age, and other characteristics protected by law.

GeneDx is a place where people from all backgrounds can make an impact.

All privacy policy information can be found here.