Remote 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 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