Payer Enrollment Specialist

Job description

Job DetailsJob Location: Pittsburgh, PA 15218Position Type: Full TimeWe are seeking a highly organized and detail-oriented FQHC Insurance Credentialing Specialist to oversee the credentialing and re-credentialing processes for a team of 20+ medical, mental health, and dental providers. This role is responsible for ensuring that all providers meet compliance requirements with federal, state, and commercial insurance regulations, as well as accrediting and licensing bodies. The ideal candidate will have extensive experience in credentialing within a Healthcare or preferably Federally Qualified Health Center (FQHC) setting and the ability to manage the entire credentialing life cycle efficiently. ESSENTIAL FUNCTIONS: Manage and oversee the insurance credentialing and re-credentialing process for all providers, including medical, mental health, and dental professionals. Maintain up-to-date and accurate insurance credentialing files in accordance with organizational policies and regulatory requirements. Ensure timely submission and follow-up on insurance credentialing and payer enrollment applications with Medicare, Medicaid, and commercial insurance providers. Monitor provider licenses...