Job Description

Position Overview: A growing healthcare organization is seeking a detail-driven, organized, and proactive Credentialing Specialist with specialized experience in medical laboratory credentialing . This full-time role offers flexibility for on-site or remote work and provides an exciting opportunity to thrive in a dynamic healthcare environment focused on excellence and compliance. Key Responsibilities: Collaborate with insurance carriers and internal leadership to develop, negotiate, and implement agreements . Lead strategic initiatives for contract negotiation and management , ensuring optimal terms and alignment with business goals. Oversee provider enrollment with Medicare, Medicaid, and commercial payers , handling all aspects from initial application to final approval. Maintain up-to-date registrations, licensing, and provider/lab information across multiple platforms. Manage re-credentialing processes to ensure uninterrupted payer participation. Utilize payer portals and systems (such as CollaborateMD ) for application submissions, tracking, and updates. Support contract review by analyzing and negotiating insurance fee schedules . Build and sustain strong working relationships with third-party payers, partner organizations, and internal stakeholders. Actively participate in team meetings and consistently represent the organization with professionalism and a service-oriented mindset. Required Qualifications: Minimum 2 years of hands-on experience specifically in medical laboratory credentialing (this is a strict requirement). In-depth knowledge of payer enrollment workflows , credentialing systems , and healthcare compliance standards . Proficiency with Microsoft Office Suite and familiarity with billing or practice management software (experience with CollaborateMD preferred). Ability to generate reports , analyze data , and effectively communicate credentialing metrics . Exceptional organizational abilities, attention to detail, and a strong commitment to meeting deadlines in a fast-paced environment. Excellent interpersonal, written, and verbal communication skills. Capacity to manage multiple concurrent tasks while adapting to shifting priorities. Physical ability to occasionally lift up to 25 pounds (e.g., handling files or documentation). MAFÉ Resources

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