Credentialing Specialist – Market Access

🔥 2 minutes ago

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Baylor Genetics

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1978

🧬 Biotechnology

🔬 Science

Biotechnology • Science

Baylor Genetics is a clinical genomics and precision diagnostics laboratory affiliated with Baylor College of Medicine that provides comprehensive genetic testing and interpretation services. The company offers whole genome and whole exome sequencing, chromosomal microarray analysis, mitochondrial testing, pharmacogenomics, and specialized assays, along with genetic counseling, provider support, and insurance/payment resources. Baylor Genetics supports healthcare providers, researchers, and families with AI-enhanced interpretation, multimodal data integration, and end-to-end clinical and laboratory services.

📋 Description

• Complete Initial Credentialing & Re-Credentialing applications to gain in-network status with commercial payors & Managed Medicaid payors • Manage and track application submissions via Salesforce • Perform timely follow-ups with payers • Collaborate closely with Market Access Team to gather necessary information and documents for network expansion initiatives • Serve as point person for assigned payers to resolve application and enrollment issues • Monitor expiration dates for assigned payers and enrollments to ensure timely renewal and prevent lapses in participation • Ensure compliance with payer specific requirements and state/federal regulations

🎯 Requirements

• Preferred bachelor’s degree with experience of 3 years in Credentialing Services • Certified Provider Credentialing Specialist (CPCS) preferred • In lieu of degree, 5 year’s minimum experience in Credentialing Services • Diagnostic Laboratory experience preferred • State Medicaid Provider enrollment experience preferred

🏖️ Benefits

• Equal Opportunity Employer • Professional development opportunities