Credentialing/Payor Specialist

Job not on LinkedIn

🔥 1 hour ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Capitol Imaging Services

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

🤖 Artificial Intelligence

👥 B2C

Healthcare • Artificial Intelligence • B2C

Capitol Imaging Services is a network of outpatient medical imaging centers providing diagnostic and interventional imaging services across multiple states (primarily Alabama, Florida, Georgia, Louisiana, Mississippi, and Texas). The company offers a wide range of modalities including MRI (open and conventional), CT, PET/CT, nuclear medicine, mammography, ultrasound, X-ray, DEXA (bone density and body composition), echocardiography, fluoroscopy, neuroimaging and related neurological testing. CIS supports both patients and referring physicians via patient and physician portals, online bill payment, medical records/release processes, and emphasizes lowering out-of-pocket expenses, fast results, and convenient locations. The organization also lists services such as Medical Imaging Research Services and AI Imaging Evaluations.

📋 Description

• Develop and execute strategies to reduce insurance denials and payer write-offs • Identify, analyze, and prioritize denial and non-payment root causes across modalities, payers, and sites • Design and implement systematic solutions to prevent recurring denials • Identify denial trends and convert them into operational SOPs • Follow up with payers to resolve claim denials and payment discrepancies • Investigate payment and reimbursement delays and support accurate claims processing • Monitor and track outstanding accounts receivable • Collect, verify, maintain, and update facility and provider credentials • Prepare and submit initial and re-credentialing applications • Maintain electronic credentialing files and track credential expirations and renewals • Submit provider enrollment applications for Medicare, Medicaid, and commercial payors • Manage enrollments through CAQH, PECOS, NPPES, and payor-specific portals • Follow up with payors regarding delays, missing documentation, and application deficiencies • Confirm provider participation status and effective dates • Maintain up-to-date fee schedules • Update payors on provider demographics, locations, group affiliations, and tax information • Maintain compliance documentation for audits and internal reviews • Partner with billing, revenue cycle, and leadership teams to resolve credentialing- and enrollment-related claim issues • Communicate with internal teams via email, phone, and virtual meetings • Manage workload independently while meeting deadlines and productivity expectations

🎯 Requirements

• Expertise in healthcare credentialing/reimbursement, preferably radiology or diagnostics • 5+ years of experience in provider credentialing, payor enrollment, and denial management • Strong knowledge of Medicare, Medicaid, and commercial insurance enrollment processes • Proven success reducing denials and write-offs • Ability to manage multiple providers and deadlines independently in a remote setting • Excellent written and verbal communication skills • Highly detail-oriented and deadline-driven • Comfortable with frequent follow-ups and documentation tracking, particularly in AR • Proficient with Microsoft Office and web-based systems • Self-motivated and able to work independently in a remote environment • Maintains confidentiality and professionalism • Reliable internet access • Ability to maintain a secure, HIPAA-compliant remote work environment

🏖️ Benefits

• Fully remote work arrangement • Secure, HIPAA-compliant remote work environment • Flexible independent workload management