Credentialing Coordinator

A company is looking for a Credentialing and Enrollment Coordinator who will manage credentialing and payer enrollment processes for clinical laboratories.

Key Responsibilities

Coordinate credentialing and re-credentialing activities for the laboratory

Prepare and submit payer applications and maintain accurate records of credentialing activities

Initiate and manage EDI, ERA, and EFT enrollment requests with payers

Required Qualifications

Associates degree required

2 or more years of experience in credentialing and payer enrollment, preferably in a clinical laboratory

Strong knowledge of Type 2 NPI credentialing and enrollment processes with Medicare, Medicaid, and commercial payers

Hands-on experience with EDI, ERA, and EFT enrollment and troubleshooting

Familiarity with payer portals, PECOS, and clearinghouse platforms