[Hiring] Payor Credentialing Specialist I @GeneDx

Role Description

The Payor Credentialing Assistant supports the credentialing team by assisting with provider portal access for approved GeneDx and third-party users, EDI/EFT/ERA enrollments direct to payors or via Xifin, and by providing accurate credentialing data for our commercial and government payors. This role ensures that all necessary documentation is accurately prepared and submitted in a timely manner, helping to maintain compliance with payor regulations.

Job Responsibilities

• Assist in the preparation and submission of credentialing applications for payors
• Maintain and update credentialing databases and files, ensuring all documentation is complete and accurate
• Assist with payor portal updates, providing access for both internal and external users, as needed
• Support EDI/EFT/ERA enrollment efforts with payors
• Communicate with internal departments to gather necessary information requested by our payors
• Assist in resolving any issues or discrepancies related to credentialing
• Stay informed about changes in payor requirements and regulations
• Support the credentialing team with administrative tasks as needed

Qualifications

• High School Diploma or GED required; bachelor’s degree preferred
• Minimum of 1-2 years of experience in a healthcare administrative role, preferably in credentialing
• Familiar with Medicare, Medicaid, Managed Medicaid Care Organizations, and commercial/private health plans
• Ability to identify and cultivate relationships with key points of contact to drive business objectives
• Strong organizational ability, proficient communication skills, and excellent attention to detail
• Ability to manage multiple tasks simultaneously in a fast-paced, deadline-driven environment
• Proficiency in Microsoft Office Suite, Monday.com, and Salesforce, preferred

Work Environment

This is a fully remote position. The employee will work from a home office or other suitable remote location with reliable high-speed internet access. Work is performed in a climate-controlled environment using standard office equipment including computer, phone, and video conferencing tools. Your standard work schedule and hours will be established in collaboration with your leader and may be adjusted to align with evolving business needs.

Physical Demands

• Sitting for extended periods (up to 8 hours per day)
• Repetitive use of hands and fingers for typing and mouse operation
• Visual acuity for reading computer screens and documents
• Ability to communicate effectively via phone and video calls
• Occasional lifting of up to 10 pounds (office supplies, equipment)

Pay Transparency, Budgeted Range

$27.77 - $29.87 USD

Company Description

At GeneDx, we're driven by urgency and purpose: helping patients get diagnosed earlier. Our mission, to empower everyone to live their healthiest life through genomics, drives our team to make a tangible impact each day – and shapes our culture where high standards, strong teamwork, and meaningful ownership are the norm. We act with intention, support one another, and deliver work we're proud to put our names on.

• Play like a champion (step up, redefine what’s possible, own it)
• Think bigger (stretch beyond, courage not consensus)
• Grow fast (be curious, speak up, be agile)

If you’re motivated by meaningful work, a fast-moving environment, and teammates who care deeply about outcomes, you’ll thrive at GeneDx.

We welcome everyone regardless of their background. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, gender, gender identity, sexual orientation, protected veteran status, disability, age, and other characteristics protected by law.

GeneDx is a place where people from all backgrounds can make an impact.