Payor Credentialing Specialist
Posted 16 Oct 2026
BranchFactor Summary
The original posting with the fluff stripped out
- Expected experience
- 3+ yrs
- Management level
- Individual contributor
- Employment
- Remote
No salary listed for this role.
Study levelCertificate
CertificationsCertified Provider Credentialing Specialist (CPCS), Certified Provider Enrollment Specialist (CPES)
Field of studyBusiness, Healthcare (or related)
Study levelBachelor's
Who We Are
At ERC Pathlight, we’re on a mission to change lives—and we’re looking for people who feel called to do the same.
As one of the nation’s leading treatment providers for eating disorders and mood, anxiety, and trauma-related conditions, we bring innovative, evidence-based, and deeply compassionate care to patients across the country. With multiple locations nationwide and extensive virtual programming, we meet patients exactly where they are and help them move toward lasting recovery.
Founded in 2008 by renowned psychiatrists and psychologists, ERC Pathlight now supports more than 6,000 patients each year. And as the need for world-class mental health care continues to rise, our commitment is stronger than ever: to expand access, elevate the standard of care, and empower every patient to rebuild their life with dignity and hope.
Why Join Us
When you join ERC Pathlight, you become part of a team that shows up every day to make a real difference. You’ll work alongside passionate clinicians, dedicated support staff, and mission-driven leaders who believe in collaboration, growth, and doing the right thing—always.
Here, your work matters. Your ideas matter. You matter.
If you’re energized by purpose, motivated by impact, and ready to help transform the future of mental health treatment, you belong here.
Come build hope. Come save lives. Come grow with us.
What you’ll be doing:
Schedule: This position is expected to work Monday–Friday, 8 hours per day. Candidates who are available to work during Central Time (CT/CST) business hours are preferred, though qualified candidates from other U.S. time zones who can support the required schedule will be considered.
The Payor Credentialing Specialist performs duties associated with payor enrollment, credentialing, re-credentialing, and privileging network providers.
Essential duties and responsibilities:
- Coordinate the credentialing, recredentialing, and provider enrollment process for physicians, advanced practice providers, and allied health professionals
- Complete, review, and submit credentialing and enrollment applications to Medicare, Medicaid, commercial insurance carriers, and managed care organizations
- Monitor application status, follow up with payors, and resolve deficiencies to ensure timely provider enrollment
- Verify provider credentials, including licensure, education, training, certifications, work history, malpractice coverage, and other required documentation
- Maintain provider records in credentialing databases: MD Staff, CAQH, PECOS, NPPES, and other applicable systems, enabling tracking of credential expiration dates and maintenance of audit-ready files