Credentialing & Enrollment Coordinator

MyOme is a clinical whole genome analysis company helping individuals and families understand their risk for disease. As a leader in polygenic and AI-based integrative risk modeling, we combine genome sequencing with AI-driven analytics and clinical data to deliver a lifetime of clinically meaningful, actionable insights, from proactive risk assessment to rare disease diagnosis. Our laboratory is CLIA-certified and CAP-accredited, and we’re based in Menlo Park, California.

Our team brings together scientists, engineers, clinicians, and professionals across disciplines, united by a shared purpose: making genomic insight a routine part of everyday healthcare. We put patients first and hold ourselves to the scientific and clinical rigor that families and their clinicians depend on.

Joining MyOme means contributing your expertise to work that matters for patients and families. Whether you’re advancing our science and technology, supporting the clinicians and patients we serve, or strengthening our operations, you’ll help turn genomic discoveries into better care.

Position Overview

The Credentialing & Enrollment Coordinator owns MyOme’s laboratory payer enrollment lifecycle, ensuring the lab is credentialed, enrolled, and set up to bill and get paid by every payer we work with. This role manages initial enrollments, revalidations, and maintenance across Medicare, Medicaid, and commercial payers, including the EDI claim and ERA/EFT enrollments that make electronic billing and payment possible. Working within our Revenue Cycle Management team, you will keep payer and provider data accurate in our billing system, so claims route correctly and remittances post cleanly. Your work directly protects cash flow and prevents denials as MyOme expands its payer network. The ideal candidate brings hands-on credentialing experience in a clinical laboratory or diagnostics setting, strong command of CMS-855B, PECOS, NPPES, and CAQH, and the organization to track dozens of applications and deadlines at once.

What You'll Do

• Prepare, submit, and track laboratory enrollments and revalidations with Medicare (CMS-855B via PECOS), state Medicaid programs, Medicare Advantage, and commercial payers.
• Manage EDI claim enrollments (837) and ERA (835) and EFT enrollments with payers and clearinghouses, coordinating testing and go-live with the billing system vendor.
• Perform XiFin file maintenance, including payer, provider, NPI, and ordering-physician setup, so claims route and remittances post correctly.
• Maintain the lab’s credentialing data and documents, including NPPES, CAQH, CLIA and CAP certificates, state lab licenses, and W-9s, and track expiration and revalidation dates.
• Keep a credentialing and enrollment tracker current with application status, effective dates, payer IDs, and follow-up actions.
• Follow up with payers on pending applications and resolve enrollment-related denials, holds, and rejections with the billing team.
• Support network contracting by submitting post-contract enrollments and confirming loaded rates and effective dates.
• Report enrollment status, risks, and upcoming deadlines to RCM leadership, and flag anything that could delay billing.
• Document enrollment procedures and payer-specific requirements to build a repeatable process as the payer network grows.

What You'll Need

• Associate’s degree required
• 3–5 years of credentialing and payer enrollment experience, including at least 2 years in a clinical laboratory, genetic testing, or diagnostics setting.
• Hands-on experience enrolling labs (facility/group enrollment, not only individual providers) with Medicare, Medicaid, and commercial payers.
• Working knowledge of CMS-855B, PECOS, NPPES, CAQH, and CLIA requirements, and how enrollment status affects claim adjudication.
• Demonstrated experience completing EDI (837) and ERA/EFT (835) enrollments with payers and clearinghouses.
• XiFin experience strongly preferred, including payer and provider file maintenance.
• Exceptional organization and attention to detail, with a track record of managing many concurrent applications and deadlines.