Clinical Laboratory Credentialing Specialist

Clinical Laboratory 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 impactand were 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
$60000-$90000/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 Youll 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
Bachelors 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 Youll 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 addition Lighthouse Lab Services will provide reasonable accommodations for qualified individuals with disabilities.

Lighthouse Lab Services

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Required Experience:

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