Top 1 Credentialing/authorizations specialist Jobs in Fort Smith, Ar

Credentialing/Authorizations Specialist
Lumina Revenue Cycle Management —Van Buren, AR
- From $11 an hour
- Full-time
- Hybrid work
- Background check
- HIPAA
- High school diploma or GED
- Health insurance
- Dental insurance
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13d

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Credentialing/Authorizations Specialist
Lumina Revenue Cycle Management —Van Buren, AR
*Experience:* Some experience in medical billing, insurance authorization, or a related field is strongly preferred. Pay is dependent upon experience.
From $11 an hour
Quick Apply
13d

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Credentialing/Authorizations Specialist

Lumina Revenue Cycle Management -
Van Buren, AR

Quick Apply

Job Details

Full-time
From $11 an hour
13 days ago

Benefits

Health insurance
Dental insurance
Vision insurance
Flexible schedule

Qualifications

Health insurance authorizations
Computer operation
High school diploma or GED
Attention to detail
Organizational skills

Full Job Description

Lumina is a family owned business specializing in revenue cycle management solutions for medical and behavioral health providers. Pay is dependent upon experience.

Education: A high school diploma or GED is typically required; an associate's degree is a plus.
Experience: Some experience in medical billing, insurance authorization, or a related field is strongly preferred.
Skills: Credentialing, Provider Enrollment, CAQH, Medicaid, Medicare, Prior Authorizations, Utilization Review, Insurance Verification, Behavioral Health Healthcare, Compliance, HIPAA, CARF, Joint Commission, Revenue Cycle Management

Responsibilities Include:

Coordinate provider credentialing, recredentialing, and payer enrollment for behavioral health providers.
Submit and track enrollment applications with Medicaid, Medicare, and commercial insurance carriers.
Maintain provider records, licenses, certifications, liability insurance, and compliance documentation.
Perform primary source verification and monitor credential expirations to ensure ongoing compliance.
Verify insurance eligibility, benefits, and authorization requirements for behavioral health services.
Initiate, submit, track, and follow up on prior authorization requests, denials, and appeals.
Collect and maintain patient demographic, insurance, and clinical information to support medical necessity reviews and authorization requests.
Serve as a liaison between providers, patients, and insurance companies to facilitate credentialing, authorizations, and reimbursement processes.
Collaborate with internal teams and payer representatives to resolve credentialing and authorization issues.
Maintain accurate data entry, reporting, and audit-ready records in compliance with HIPAA, CARF, Joint Commission, payer, and regulatory requirements.

Job Type: Full-time

Pay: From $11.00 per hour

Benefits:

Dental insurance
Flexible schedule
Health insurance
Vision insurance

Work Location: Hybrid remote in Van Buren, AR 72956

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credentialing/authorizations specialist jobs in fort smith, ar

Credentialing/Authorizations Specialist

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