Payor Credentialing Specialist

Who We Are 

We’re changing lives, and we’re hiring people who want to do the same. 

ERC Pathlight treats eating disorders, mood, anxiety, and trauma-related conditions with evidence-based, compassionate care. We meet patients where they are, through locations nationwide and extensive virtual programming, and help them build recovery that lasts. 

Founded in 2008 by psychiatrists and psychologists, we’ve helped 35,000+ people start their recovery. The need for quality mental health care keeps growing, and we’re looking for people who want to meet it. 

Why Join Us 

Your work matters. You matter. 

You’ll work alongside passionate clinicians, dedicated support staff, and leaders who do right by our patients, every time. If you’re driven by purpose and ready to transform mental health care, you belong here. 

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
• Coordinate with providers and internal departments to obtain required documentation and respond to requests from payors for additional information
• Research and resolve credentialing and enrollment issues affecting provider participation and reimbursement
• Generate credentialing reports, maintain enrollment status reports, and support internal and external audits
• Ensure compliance with federal and state regulations, accreditation standards, HIPAA, and organizational policies; communicate credentialing status updates to leadership and providers
• Participate in process improvement initiatives

Must haves

• High school or GED (required)
• Strong organization skills. Detail oriented. Ability to multi-task and prioritize (required)
• Able to communicate in a professional manner both verbally and in writing (required)
• Minimum of 3 years of experience in healthcare facility credentialing and physician credentialing (required)

Bonus qualities

• Bachelor’s degree in business, healthcare or any related field of study (preferred)
  • Equivalent years of experience (in addition to requirement) may be substituted for degree
• Certified Provider Credentialing Specialist (CPCS) or Certified Provider Enrollment Specialist (CPES) by the National Association of Medical Staff Services (NAMSS) (preferred)
• Experience utilizing MD Staff Software (preferred)

Location: This position is posted as remote; however, per company policy, candidates residing within a 35‑mile radius of ZIP code 80230 will be required to follow a hybrid schedule (3 days/week onsite), even if they applied to the remote posting.

This range is dependent upon candidate's state of residence, experience and market expectations.

What We Offer 

At ERC Pathlight, caring for people is our mission and that begins with caring for our own team. Your well-being matters, and our benefit program is designed to support every part of your life. 

We offer competitive compensation; comprehensive medical, dental, and vision coverage; generous Paid Time Off; Parental Leave benefits; Retirement benefits; and tuition reimbursement to help you continue growing in your career. 

We also recognize that mental health is part of every person’s experience. That’s why we strive to create a workplace where you feel supported, seen, and encouraged—personally, professionally, and at home. 

When you thrive, you can do your best work. And your best work changes lives.