We save lives while providing the opportunity for people to realize their healthy selves. Payor Credentialing Specialist Monte Nido Remote 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. Monte Nido is seeking a highly organized Credentialing Specialist with experience in facility and provider payor credentialing to join our dynamic and mission-driven team. This role supports our payor contracting and credentialing efforts across a nationwide network, ensuring timely and accurate credentialing with payors. 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: Perform data entry and conduct detailed reviews of credentialing files, ensuring completeness and accuracy before uploading into credentialing and payor systems. Manage and maintain up-to-date credentialing records for both facilities and providers, ensuring compliance with payor requirements. Coordinate and process payor applications for provider enrollment, reappointments, and facility credentialing. Proactively monitor and follow up on credentialing applications, ensuring timely submission and approvals. Maintain current copies of state licenses, DEA certificates, malpractice insurance, and other required documents for all providers and facilities. Ensure all credentialing processes adhere to NCQA standards and meet payor-specific requirements. Verify credentialing data accuracy and validity through thorough reviews and audits. Understand and manage the requirements for maintaining, updating, and activating healthcare providers’ and facilities’ credentialing with payors. Navigate payor portals, web-based applications, and credentialing software for data entry, document uploads, and status tracking. Create and update Excel spreadsheets to organize data and generate reports for leadership. Shadow a current team member to learn credentialing processes and procedures during onboarding. Collaborate effectively with internal teams and external stakeholders while maintaining a positive, professional attitude. 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. #montenido #LI-REMOTE