Credentialing Specialist – Payer Enrollment

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Lumexa Imaging

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2018

🏥 Healthcare

🤝 B2B

Healthcare • B2B

Lumexa Imaging is a national outpatient diagnostic imaging company building partnerships with health systems to expand access to advanced medical imaging. It operates 185+ outpatient imaging centers across 13 states (including 85+ centers run as joint ventures with health systems), provides centralized scheduling, subspecialized radiologist interpretations (including teleradiology through its Connexia offering), and leverages AI and state-of-the-art equipment to improve clinical quality and operational efficiency. Lumexa focuses on patient experience, convenient outpatient care that can be lower-cost than hospital outpatient departments, and collaborative joint ventures with health systems.

📋 Description

• Prepare, submit, and track enrollment applications, re-credentialing packets, and demographic updates with commercial and government payers • Communicate with insurance representatives to track application status, resolve processing errors, and shorten approval timelines • Manage, update, and audit provider information in centralized databases such as CAQH, PECOS, and NPPES • Coordinate with billing, compliance, and operations teams to align enrollment data across practice management systems • Investigate and resolve claim rejections or delays caused by provider enrollment or taxonomy errors • Enroll healthcare facilities with commercial insurance payers, Medicare, and Medicaid to ensure timely reimbursement

🎯 Requirements

• A minimum of two years of payer enrollment experience • Knowledge and understanding of the credentialing and enrollment process • Strong familiarity with medical provider numbers such as NPI (National Provider Identifier) and TIN (Tax Identification Number) • Ability to organize and prioritize work and manage multiple priorities • Excellent verbal and written communication skills • Excellent attention to detail • Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization • Proficient use of Microsoft Office applications (Word, Excel, SharePoint) and credentialing software • MD Staff software experience a plus

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