Payer Credentialing Specialist

Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. We are seeking a Payer Credentialing Specialist to join our team.

Pay rate starting at $20/hr

This is a remote position available for candidates residing in PA, DE, MD, NJ, OH, FL, TX, and VA.

Position Details

The Payer Credentialing Specialist is responsible for managing all aspects of staff payer credentialing across Merakey. This role serves as the primary point of contact for facility and practitioner credentialing and re-credentialing processes, ensuring compliance with payer requirements and organizational standards. The position reports directly to the Contracting and Credentialing Supervisor.

The Payer Credentialing Specialist will

• Ensure timely and accurate submission of initial and re-credentialing applications for all employed and contracted providers
• Maintain active Medicare and Medicaid enrollments for all eligible providers
• Manage and update provider records across CAQH, PECOS, PROMISe, and other payer systems, ensuring accuracy and compliance
• Track and maintain all required documentation (e.g., licenses, DEA, malpractice insurance) to ensure records remain current
• Respond promptly to payer requests for additional or missing information to support credentialing processes
• Provide regular status updates on credentialing progress for new and existing providers
• Research and resolve credentialing-related claim issues, collaborating with operations and business teams
• Build and maintain strong working relationships with providers, program leadership, and support teams
• Adhere to all organizational policies, procedures, and standards
• Perform other duties as assigned

Benefits

• Merakey offers generous benefits that promote well-being, financial security, and work-life balance, including:
• Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support.
• Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions.
• DailyPay -- access your pay when you need it!