Payor Credentialing Specialist I - Healthcare Admin, Growth

GeneDx, Inc

United States

Remote

USD 40,000 - 60,000

Full time

46 hours ago
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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

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.

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