Payor Credentialing Specialist I

GeneDx, Inc; United States; Remote; USD 40,000 - 60,000; Full time

Benefits offered by this job

Competitive compensation

Job summary

GeneDx, Inc. is seeking a Credentialing Administrator to support payer enrollment and credentialing processes in a fast-paced healthcare setting in the United States. You will prepare applications, maintain records, and coordinate with internal teams to obtain required information.

The role emphasizes accuracy, organization, and the ability to manage multiple tasks. Preference for candidates with healthcare admin experience and familiarity with payor requirements and portals.

Qualifications

• High School Diploma or GED required.
• 1–2 years of healthcare administrative experience, ideally credentialing.
• Familiarity with Medicare, Medicaid, managed Medicaid and commercial plans.
• Strong organizational ability and attention to detail.
• Ability to manage multiple tasks in a fast-paced, deadline-driven environment.

Responsibilities

• Prepare and submit credentialing applications for payors.
• Maintain and update credentialing databases and files.
• Assist with payor portal updates and access for internal and external users.
• Support enrollment efforts with payors (EDI/EFT/ERA).
• Communicate with internal departments to gather information requested by payors.
• Resolve issues or discrepancies related to credentialing.
• Stay informed about changes in payor requirements and regulations.
• Support the credentialing team with administrative tasks.

Skills

Attention to detail

Organizational skills

Multitasking

Deadline-driven

Education

High School Diploma or GED

Bachelor's degree (preferred)

Tools

Microsoft Office Suite

Monday.com

Salesforce

Job description

Responsibilities

• Prepare and submit credentialing applications for payors
• Maintain and update credentialing databases and files
• Assist with payor portal updates and access for internal and external users
• Support EDI/EFT/ERA enrollment efforts with payors
• Communicate with internal departments to gather information requested by payors
• Resolve issues or discrepancies related to credentialing
• Stay informed about changes in payor requirements and regulations
• Support the credentialing team with administrative tasks

Requirements

• High School Diploma or GED required
• 1-2 years of healthcare administrative experience, preferably in credentialing
• Familiarity with Medicare, Medicaid, managed Medicaid and commercial health plans
• Strong organizational ability and attention to detail
• Ability to manage multiple tasks in a fast-paced, deadline-driven environment

Preferred Qualifications

• Bachelor's degree
• Proficiency in Microsoft Office Suite, Monday.com and Salesforce

Benefits

• Competitive compensation and benefits reflecting local market practices

About the Company

GeneDx delivers genomic testing and interpretation services to inform diagnosis, direct treatment and improve drug discovery.