Credentialing Coordinator

Job Summary

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