Credentialing Specialist – Payer Enrollment

Lumexa Imaging

. Prepare, submit, and track enrollment applications, re-credentialing packets, and demographic updates with commercial and government payers .

Posted 11/2/2026full-timeRemote • Texas • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in payer enrollment processes, including managing applications and resolving claim issues, while maintaining strong communication and organizational skills to collaborate effectively with various stakeholders.

Highest-signal resume keywords

Payer Enrollment ExperienceCredentialing Process KnowledgeNPI and TIN FamiliarityMicrosoft Office ProficiencyAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Enrollment Application PreparationProvider Information ManagementClaim Rejection InvestigationDemographic Updates TrackingAudit and Compliance Management

Soft Skills

Excellent Communication SkillsOrganizational SkillsRelationship Management

Tools & Technologies

CAQHPECOSNPPESMD Staff SoftwareSharePoint

Industry Keywords

Healthcare EnrollmentCommercial InsuranceMedicareMedicaidProvider Taxonomy

About the role

Key responsibilities & impact

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

What you’ll need

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