Credentialing & Payer Enrollment Specialist

The Credentialing & Payer Enrollment Specialist manages provider credentialing, payer enrollment, and electronic data interchange processes for healthcare providers and organizations. This role involves handling applications for Medicare and commercial payers, maintaining CAQH and PECOS profiles, and ensuring providers are properly linked to groups and billing entities. The specialist collaborates with revenue cycle teams to resolve enrollment issues and maintain accurate documentation throughout the enrollment lifecycle.