Provider Payor Credentialing Specialist

We save lives while providing the opportunity for people to realize their healthy selves.

Provider Payor Credentialing Specialist

Monte Nido

Remote

1099 Contract

For more than 25 years, Monte Nido has delivered proven treatment for eating disorders. Our programs offer a model of treatment that blends medically sophisticated care with a personalized treatment approach. Our treatment setting is intimate with a high staff-to-client ratio, and an emphasis on individual therapy and highly individualized treatment. As we grow, we are seeking a detail-oriented and collaborative credentialing contractor to support our provider onboarding and payor enrollment needs.

The Provider Payor Credentialing Specialist (1099 Contractor) plays a key role in onboarding new providers by handling credentialing and enrollment with commercial insurers, Medicaid, Medicare, and associated systems (e.g., PECOS, CAQH). This contractor will ensure providers are enrolled accurately and efficiently, enabling timely billing and patient access.

Total Rewards:

Discover a rewarding career with us and enjoy an array of comprehensive benefits! We prioritize your success and well-being, providing:

• Competitive compensation
• Medical, dental, and vision insurance coverage (Benefits At a Glance)
• Retirement
• Company-paid life insurance, AD&D, and short-term disability
• Employee Assistance Program (EAP)
• Flexible Spending Account (FSA)
• Health Savings Account (HSA)
• Paid time off
• Professional development
• And many more!
  
  

We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Responsibilities Include:

• Complete and submit provider enrollment applications with commercial payors, Medicaid, and Medicare across multiple states.
• Manage credentialing requirements in PECOS, CAQH, NPPES, and other relevant systems.
• Maintain up-to-date provider profiles and ensure timely re-attestations and revalidations.
• Collaborate with the Talent Operations, Revenue Cycle, Admissions, and Compliance teams to align credentialing with onboarding and billing readiness.
• Track and follow up on application statuses, resolve discrepancies, and ensure timely approvals.
• Document and communicate credentialing progress and issues with internal stakeholders.
• Proactively identify process improvements to reduce delays and improve accuracy.
  
  

Qualifications:

• Minimum of 3 years of experience in payor credentialing for healthcare providers and facilities is preferred.
• Strong verbal, written, and customer service communication skills.
• Exceptional organizational skills and meticulous attention to detail, particularly when reviewing complex credentialing documents.
• Tech-savvy and self-motivated team player capable of working independently.
• Proficiency in Excel, Microsoft Office Suite, credentialing software, and shared drives.
• Experience with payor portals and navigating virtual meeting platforms (Webex, Zoom, etc.).
• Familiarity with payor credentialing processes, including CVs, PDF file management, and license verification documents.
  
  

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