Payer Credentialing Specialist / Payer relations Corrdinator

Payer Relations & Credentialing Specialist (Behavioral Health)

Location:

Jupiter, FL About Phoenix Employee Solutions Phoenix Employee Solutions provides healthcare staffing and workforce solutions for behavioral health organizations nationwide. We help treatment centers connect with qualified professionals who support individuals on their mental health and recovery journeys. Position Overview Phoenix Employee Solutions is seeking a detail-oriented Payer Relations & Credentialing Specialist to support provider enrollment, credentialing, and payer relations for our behavioral health partners. In this role, you'll ensure clinicians are credentialed, enrolled, and maintained with insurance payers so they can deliver services without interruption or reimbursement delays. You'll serve as a key point of contact with insurance carriers while helping maintain compliance, accuracy, and operational efficiency. What You'll Do Manage provider credentialing and payer enrollment from application through approval. Submit, track, and maintain credentialing applications, renewals, and supporting documentation. Serve as the primary contact for insurance payers, resolving credentialing, roster, and enrollment issues. Follow up with payers to verify application status, effective dates, and outstanding requirements. Maintain accurate provider records across credentialing systems and payer portals. Manage and attest provider profiles within CAQH. Verify and maintain NPI information through NPPES. Track credentialing deadlines, recredentialing cycles, and enrollment activity. Coordinate credentialing requirements for new hires and newly licensed providers. Review documentation for completeness, accuracy, and compliance. Monitor payer policy updates and communicate changes to internal stakeholders. Partner with HR, operations, and clinical leadership to ensure provider information remains current and compliant. What We're Looking For Experience in provider credentialing, payer enrollment, healthcare administration, or a related healthcare support role. Knowledge of managed care credentialing and enrollment processes. Experience managing CAQH profiles and attestations. Familiarity with NPPES and NPI verification. Experience working with commercial insurance payer portals. Strong organizational skills with exceptional attention to detail. Ability to manage multiple priorities and deadlines in a fast-paced environment. Excellent written and verbal communication skills. Proficiency with Excel, Google Sheets, and tracking systems. Behavioral health experience and familiarity with NCQA standards are preferred. Why Join Phoenix Employee Solutions? Meaningful work supporting behavioral health providers and patients. Collaborative and mission-driven team environment. Opportunity to make a direct impact on provider readiness and reimbursement success. Growth potential within a dynamic healthcare organization.

Job Types:

Full-time, Temp-to-hire Pay:

$25.39 - $45.00 per hour

Benefits:

Dental insurance Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person