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Payor Credentialing Specialist
Payor Credentialing SpecialistTEKsystems • Baltimore, Maryland, United States
Payor Credentialing Specialist

Payor Credentialing Specialist

TEKsystems • Baltimore, Maryland, United States
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  • Description
  • Provide technical and analytical functions related to data maintenance of the primary source of institutional practitioner data. Ensure the integrity of data and information kept in the provider number database.

    The project will involve verifying and updating provider information across IDX, ePREP, and the hospitals roster systems to ensure consistency, accuracy, and timely processing of claims.

    Perform payor credentialing functions for applicable providers via electronic methods. Initiate payor enrollment applications via online sources. Contact providers for online approval of payor enrollment forms. Track provider numbers generated by third party managed care companies and enter into Echo credentialing software. Manage login / passwords for NPI and PECOS systems for all providers. Track Medicare & Medicaid revalidation status. Ensure compliance with all Federal provider enrollment programs.

    • Skills
    • payer credentialing, medicaid, enrollment

    • Top Skills Details
    • payer credentialing,medicaid,enrollment

    • Additional Skills & Qualifications
    • 2+ years working for a payor in credentialing role working with EPREP Maryland Medicaid system, IDX exp.

      Excel experience to be able to work on the provider delegated roster.

      High School / GED

    • Experience Level
    • Entry Level

    • Job Type & Location
    • This is a Contract position based out of Baltimore, MD.
    • Pay and Benefits
    • The pay range for this position is $22.00 - $25.00 / hr.
    • Eligibility requirements apply to some benefits and may depend on your job

      classification and length of employment. Benefits are subject to change and may be

      subject to specific elections, plan, or program terms. If eligible, the benefits

      available for this temporary role may include the following :

    • Medical, dental & vision
    • Critical Illness, Accident, and Hospital
    • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
    • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
    • Short and long-term disability
    • Health Spending Account (HSA)
    • Transportation benefits
    • Employee Assistance Program
    • Time Off / Leave (PTO, Vacation or Sick Leave)
    • Workplace Type
    • This is a fully remote position.
    • Application Deadline
    • This position is anticipated to close on Dec 19, 2025.
    • h4>

      About TEKsystems :

      We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

      The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

      About TEKsystems and TEKsystems Global Services

      We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

      The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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