Spec. Payer Relations

Summary Job Summary The Payer Relations Specialist coordinates and performs all aspects of the provider credentialing and recredentialing process to ensure healthcare providers meet regulatory, accreditation, and payer participation requirements. Supports compliance with federal and state regulations, accreditation standards, and internal policies by verifying provider qualifications, maintaining accurate credentialing records, and ensuring timely submission and approval of credentialing applications. Collaborates closely with Medical Staff Services, Revenue Cycle, Compliance, and Payer Enrollment teams to ensure providers are credentialed and approved prior to rendering services and billing for services Minimum Job Requirements: Work Experience: Two years of experience as a physician credentialing within a hospital or healthcare system. License/Registration/Certification: None Education and Training: High school diploma or equivalent required. Associate's degree in Healthcare Administ...