Top 4135 Credentialing representative Jobs

Credentialing Specialist (Payer Enrollment)
Lumexa Imaging —Remote
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Organizational skills
Quick Apply
Credentialing Specialist (Full-Time Temp to Perm)
TapestryHealth —Remote
- $50,000 - $55,000 a year
- Full-time
- Remote
- Microsoft Outlook
- HIPAA
- Mid-level
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Part-Time Faculty General Business, Supply Chain Management/International Management
Faculty —Remote
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- Microsoft Outlook
- Doctoral degree
- Computer literacy
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Credentialing Specialist (Part-Time Temp to Perm)
TapestryHealth —Remote
- $50,000 - $55,000 a year
- Part-time
- Remote
- Microsoft Outlook
- HIPAA
- Mid-level
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Part-Time, MBA-Marketing
Faculty —Remote
- Part-time
- Classroom
- Microsoft Outlook
- Doctoral degree
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Part-time Faculty, Emergency Management
Faculty —Remote
- Part-time
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- Classroom
- Microsoft Outlook
- Doctoral degree
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Credentialing Team Lead
Spectrum Billing Solutions —Remote
- Full-time
- Hybrid work
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
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Provider Enrollment Representative
TeamHealth —Remote
- Overtime
- Research
- High school diploma or GED
- 1 year
- Paid holidays
- Health insurance
Credentialing Coordinator- Temporary
Provider Partners Health Plan —Remote
- Temporary
- Salesforce
- Mid-level
- High school diploma or GED
Quick Apply
Senior Enrollment Representative
Optum —Eden Prairie, MN
- $20.38 - $36.44 an hour
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Research
- Flextime
Credentialing Coordinator
University of Rochester —Rochester, NY
- $23.27 - $32.60 an hour
- Full-time
- Remote
- English
- Research
- Mid-level
Part-Time Faculty - Health Information Technology
Faculty —Remote
- Part-time
- Remote
- Microsoft Outlook
- Doctoral degree
- 5 years
Quick Apply
Part-Time Faculty, Public Administration
Faculty —Remote
- Part-time
- Microsoft Outlook
- Doctoral degree
- Computer literacy
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Membership Associate
Aledade —Remote
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Paid holidays
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9d
Part Time Faculty - Finance
Faculty —Remote
- Part-time
- Remote
- Microsoft Outlook
- Doctoral degree
- Computer literacy
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Part-Time Psychology
Faculty —Remote
- Part-time
- Remote
- Microsoft Outlook
- Doctoral degree
- Computer literacy
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Credentialing Specialist
Pain Specialist of America LLC —Austin, TX
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Senior Provider Enrollment Representative
Optum —Oklahoma City, OK
- $20.38 - $36.44 an hour
- Urgently hiring
- Remote
- Microsoft Word
- Pass drug screening
- Mid-level
Credentialing Representative
SpecialtyCare —Brentwood, TN
- $45,000 - $48,000 a year
- Hybrid work
- Mid-level
- Office
- Health insurance
- Dental insurance
9d
Insurance Billing - Special Utilities - Digitech - Remote
Sarnova —Remote
- Full-time
- Remote
- Computer literacy
- HIPAA
- High school diploma or GED
- 401(k)
Quick Apply

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Credentialing Specialist (Payer Enrollment)

Lumexa Imaging -
Remote

Quick Apply

Job Details

Full-time

Qualifications

Provider enrollment for medical credentialing

Full Job Description

Lumexa Imaging is one of the country's largest providers of outpatient medical imaging. With over 5,000 team members and more than 185 outpatient imaging centers across 13 states, our team conducts more than 4 million outpatient studies annually. We are the partner of choice for health systems and radiologists, delivering best-in-class clinical excellence, operations, and state-of-the-art technology across our platform.

The Provider Enrollment Specialist is responsible for enrolling healthcare providers with commercial insurance payers, Medicare, and Medicaid to ensure timely reimbursement for services rendered. This role manages the end-to-end application process, monitors credentialing status, and resolves enrollment-related issues. Success in this role requires strong attention to detail, knowledge of healthcare regulations, and effective communication skills to collaborate with providers and payer representatives.

Essential Duties and Responsibilities

Application Management:

Prepare, submit, and track provider enrollment applications, re-credentialing packets, and demographic updates with commercial and government payers in a timely manner.

Payer Follow-Up:

Proactively communicate with insurance representatives to monitor application status, resolve processing issues, and reduce approval turnaround times.

Database Maintenance:

Accurately maintain and audit provider data within credentialing systems and databases such as CAQH, PECOS, and NPPES.

Cross-Functional Collaboration:

Work closely with billing, credentialing, and HR teams to ensure alignment and accuracy of provider information across all internal systems and platforms.

Denial Resolution:

Investigate and resolve claim denials, rejections, or payment delays resulting from enrollment discrepancies, provider data issues, or taxonomy errors.

Required Experience

Minimum of 2 years of payer enrollment and provider credentialing experience in a healthcare setting.

Knowledge, Skills, and Abilities

Strong understanding of provider credentialing and payer enrollment processes.
CAQH experience is required
Familiarity with provider identifiers, including NPI (National Provider Identifier) and TIN (Tax Identification Number).
Excellent organizational skills with the ability to manage multiple priorities in a fast-paced environment.
Strong verbal and written communication skills.
High level of accuracy and attention to detail.
Ability to build and maintain effective working relationships with providers, internal teams, and external payer contacts.
Proficiency in Microsoft Office applications (Word, Excel, and Access) and credentialing software platforms.
Experience with MD Staff or similar credentialing software is preferred.

Lumexa Imaging provides a competitive compensation program to attract, retain, and motivate a high-performance workforce.

Lumexa Imaging is an equal opportunity employer.

Quick Apply

Refine Your Search

credentialing representative jobs

Credentialing Specialist (Payer Enrollment)

Credentialing Specialist (Full-Time Temp to Perm)

Part-Time Faculty General Business, Supply Chain Management/International Management

Credentialing Specialist (Part-Time Temp to Perm)

Part-Time, MBA-Marketing

Part-time Faculty, Emergency Management

Credentialing Team Lead

Provider Enrollment Representative

Credentialing Coordinator- Temporary

Senior Enrollment Representative

Credentialing Coordinator

Part-Time Faculty - Health Information Technology

Part-Time Faculty, Public Administration

Membership Associate

Part Time Faculty - Finance

Part-Time Psychology

Credentialing Specialist

Senior Provider Enrollment Representative

Credentialing Representative

Insurance Billing - Special Utilities - Digitech - Remote

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