Medical Credentialing Specialist (On-site)

Our client is hiring!

Medical Credentialing Specialist 

A well established and respected medical billing team in

Lansing, MI, is seeking a detail-oriented and organized Medical Credentialing Specialist to join our team. The ideal candidate will be knowledgeable in all aspects of the insurance provider enrollment process, including initial enrollment, re-credentialing, and revalidation. This role works onsite in an office environment and serves as the primary liaison between payers, providers, and provider organizations to ensure participation status is maintained accurately and in a timely manner. 

Looking for those interested in full-time work onsite in our Lansing, MI, office five days per week. The Medical Credentialing Specialist is an hourly position that typically works 40 hours per week and is eligible for overtime. 

Key Responsibilities: 

• Complete credentialing and re-credentialing applications (electronic and hardcopy)  
• Update and maintain service and payment address information  
• Investigate and resolve credentialing-related rejections  
• Manage EDI, ERA, and EFT enrollments  
• Communicate regularly with providers, insurance carriers, and internal leadership  
• Maintain strong relationships with payers and clients  
• Other duties as assigned 

Education and Experience Requirements: 

• High School Diploma or Equivalent required 
• Associate’s Degree or CPCS (Certified Provider Credentialing Specialist) certification preferred 
• 2–5 years of provider enrollment, medical billing, or credentialing experience preferred  
• In-depth knowledge of payer applications and workflow processes (e.g., CHAMPS, PECOS, CAQH)  

Qualifications: 

• Ability to work in a fast-paced, deadline-driven environment with frequent interruptions and competing priorities  
• Ability to work independently with minimal supervision  
• Strong attention to detail with a high level of accuracy  
• Highly organized with strong time management skills  
• Strong problem-solving abilities  
• Excellent verbal and written communication skills  
• Ability to analyze information and make timely, sound decisions  
• Professional demeanor when interacting with providers and external stakeholders  
• Proficiency in Microsoft Office (Outlook, Word, Excel)  

Work Environment and Expectations: 

• Fast-paced environment with frequent interruptions and competing priorities 
• Requires ability to manage multiple deadlines simultaneously 
• Regular interaction with providers, insurance carriers, and internal leadership 

Schedule: Business hours 8-5pm, Monday to Friday 

Benefits: MMS is an equal-opportunity employer offering a comprehensive benefit package for all full-time employees, including medical, dental, and vision coverage, long-term disability, life insurance, 401(k) savings plan with a company contribution, HSA for medical, paid time off, paid holidays, education reimbursement, and business casual dress. 

For consideration, please apply here, or send your cover letter and resume to: mmsmrecruiting@gmail.com