Job Description
Credentialing Specialist (Onsite or Remote) Are you a detail-driven credentialing professional who thrives on building payer relationships and driving revenue growth? Join a mission-focused laboratory team dedicated to improving lives through innovative oral fluid drug testing. Lighthouse Lab Services has partnered with a lab near
Kalamazoo, MI that combines cutting-edge technology with a commitment to accuracy, service, and impact-and we're looking for someone who can help expand our reach and strengthen our payer network.
Why This Role Matters In this role, you will play a critical part in expanding access to our laboratory services by securing in-network agreements with commercial insurers, Medicare, and Medicaid across multiple states. Your work directly impacts reimbursement success, operational growth, and our ability to deliver meaningful results to patients and providers.
What We Offer • $60,000-$90,000/yr DOE
• Comprehensive benefits: medical, dental, vision, disability, life insurance, and 401(k) with company match
• A collaborative, high-energy culture where your contributions are valued
• The opportunity to play a key role in a growing organization driven by the Entrepreneurial Operating System (EOS)
• A chance to be part of a team that is making a measurable impact in healthcare
What You'll Do • Lead end-to-end credentialing and enrollment efforts with commercial payers and Managed Medicaid plans across multiple states
• Prepare, submit, and manage initial and re-credentialing applications to establish and maintain in-network status
• Build and manage a centralized credentialing tracking system to ensure deadlines, renewals, and follow-ups are proactively managed
• Partner with internal stakeholders to support strategic growth initiatives and network expansion
• Conduct consistent follow-up with payers to accelerate application processing and approvals
• Review payer contracts for accuracy and alignment with CPT code reimbursement and negotiate rates when appropriate
• Ensure full compliance with payer requirements and all state and federal regulations
• Maintain exceptional accuracy in documentation, data management, and reporting
What You Bring • Bachelor's degree and at least 3 years of healthcare credentialing experience
• CPCS certification preferred
• Proven success credentialing across multiple states, ideally within a laboratory setting
• Strong analytical and research skills with advanced proficiency in Excel, Word, and Adobe/Foxit
• Ability to work independently, prioritize effectively, and solve problems proactively
• Solid understanding of healthcare regulations and compliance standards
• A collaborative mindset with strong communication skills and a customer-focused approach
How You'll Make an Impact • Drive revenue growth by securing payer access and optimizing reimbursement
• Strengthen payer relationships through professionalism and persistence
• Enhance operational efficiency by building scalable credentialing processes
• Contribute to a high-performing, positive, and team-oriented culture
About Us: At Lighthouse Lab Services, we offer solutions to help start, grow, and run clinical laboratories. Our recruiting team has over 20 years of proven success placing job seekers in positions ranging from entry-level Medical Technologists to seasoned Laboratory Directors. We recruit nationwide, for permanent and travel positions with clients ranging from small hospitals to large reference laboratories.
It is the policy of Lighthouse Lab Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Lighthouse Lab Services will provide reasonable accommodations for qualified individuals with disabilities.
Lighthouse Lab Services | 800-838-0602 | lighthouselabservices.com
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Job Tags
Permanent employment, Local area