Remote Payor Credentialing Specialist

Eating Recovery Center; Aspen (CO); Hybrid; USD 29,000 - 39,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

Paid time off

Parental leave

Retirement benefits

Tuition reimbursement

Job summary

ERC Pathlight is seeking a Payor Credentialing Specialist to manage credentialing, recredentialing, and provider enrollment. The role requires coordinating with physicians and allied health professionals and ensuring applications are submitted accurately and on time.

You will verify credentials, maintain records in key systems, and liaise with payors and internal departments to resolve issues. A healthcare credentialing background and strong organizational skills are essential, with a preference

Qualifications

• Minimum of 3 years in healthcare facility credentialing
• Bachelor’s degree in business/healthcare or related field preferred
• CPCS or CPES certification preferred

Responsibilities

• Coordinate credentialing, recredentialing, and provider enrollment for physicians and allied health professionals
• Prepare, review, and submit credentialing/enrollment applications to Medicare, Medicaid, and commercial carriers
• Monitor application status and resolve deficiencies to ensure timely enrollment
• Verify credentials including licensure, education, training, and certifications
• Maintain credentialing records in systems like CAQH, PECOS, NPPES and audit files
• Coordinate with providers and internal teams to obtain required documentation
• Research and resolve credentialing issues affecting participation and reimbursement
• Generate credentialing reports and support audits
• Ensure compliance with HIPAA, regulations, and standards
• Participate in process improvement initiatives

Skills

Strong organization

Detail oriented

Professional communication

Education

Bachelor’s degree preferred in business/healthcare

High school diploma or GED required

Job description

ERC Pathlight is seeking a Payor Credentialing Specialist to manage credentialing, recredentialing, and provider enrollment. The role requires coordinating with physicians and allied health professionals and ensuring applications are submitted accurately and on time.

You will verify credentials, maintain records in key systems, and liaise with payors and internal departments to resolve issues. A healthcare credentialing background and strong organizational skills are essential, with a preference