Payor Contracting and Credentialing Specialist

Position Overview: We are looking for a Payor Contracting/Credentialing Specialist who is experienced with obtaining commercial payor contracts, managing medical practice and provider enrollments, and ensuring compliance with payor requirements. This role requires someone highly organized, detail-oriented, and skilled in handling contracting and credentialing processes end-to-end. 🔹 Key Responsibilities Obtain, negotiate, and maintain commercial payor contracts for the medical practice Manage practice/provider credentialing and re-credentialing processes Complete and submit enrollments with insurance payors (Medicare, Medicaid, commercial) Maintain and update provider records and documentation Track application statuses and timely follow up with payors Ensure compliance with all regulatory requirements 🔹 Qualifications 2 years of proven experience in contracting and credentialing for US healthcare organizations and providers Detailed knowledge of CAQH and payor enrollment processes Experience with PECOS Medicare enrollment and revalidation Strong organizational and tracking skills Excellent English communication skills 🔹 Preferred Experience working with multiple providers or group practices Knowledge of licensing and compliance requirements Hardware and Software Requirements: Hardware: AMD Ryzen 3 3200G APU or Intel Core i5 (at least 7th gen) Intel CPU 16GB DDR4 RAM and 120 – 480gb SSD Jabra Biz 1100 / Logitech H390 or similar Noise-canceling Headset 1 – 2 Monitors (at least 21in) 1080p HD Webcam Internet Speed: 50mbps (Fiber/DSL) LTE not accepted Software: Genuine Windows 10 Licensed Computer Microsoft Office Suite