Non-Emergency Medical Transportation Credentialing Specialist

Credentialing Specialist

Position Summary

The Credentialing Specialist is responsible for coordinating and maintaining the credentialing, recredentialing, and ongoing compliance of Medi Trans' contracted Non-Emergency Medical Transportation (NEMT) providers, vehicles, and drivers. This position ensures that all provider documentation complies with Louisiana Department of Health (LDH), Medicaid Managed Care Organization (MCO), contractual, and company requirements.

The Credentialing Specialist serves as a primary point of contact for transportation providers throughout the credentialing process by collecting, verifying, maintaining, and updating provider records in multiple credentialing platforms. This role works collaboratively with the Provider Network Department, Revenue Cycle, Compliance, Operations, and other internal departments to ensure providers remain compliant and eligible for reimbursement.

Compensation

Pay Type: Non-Exempt / Hourly

Benefits: Eligible for company-sponsored benefits in accordance with company policy.

Essential Functions

Provider Credentialing & Compliance

• Coordinate the credentialing and recredentialing process for transportation providers, vehicles, and drivers.
• Maintain daily communication with transportation providers to obtain required credentialing and compliance documentation.
• Review and verify all provider documentation for completeness, accuracy, and compliance with contractual, Medicaid, and company requirements.
• Monitor expiration dates for licenses, insurance, vehicle inspections, certifications, and other required documentation to ensure continuous compliance.
• Notify providers of upcoming expiration dates and outstanding documentation requirements.

Data Management & Documentation

• Accurately enter and maintain provider, vehicle, and driver information within multiple credentialing platforms and internal databases.
• Ensure all credentialing documentation is entered promptly to support timely provider reimbursement and operational readiness.
• Maintain organized electronic credentialing files in accordance with company record retention policies.
• Scan, upload, and electronically file credentialing documentation, including but not limited to:
• Vehicle Inspection Reports
• Spot Inspection Forms
• Driver Documentation
• Observation Reports
• Digital Photographs
• Insurance Certificates
• Licenses and Certifications

Provider Support

• Serve as a resource for transportation providers by answering credentialing-related questions and providing guidance on compliance requirements.
• Assist providers with completing credentialing applications and submitting required documentation.
• Build and maintain positive working relationships with contracted providers.

Quality Assurance & Compliance

• Perform quality reviews of credentialing files to ensure accuracy and completeness.
• Identify missing or incomplete documentation and follow up with providers to obtain required information.
• Maintain confidentiality of all provider and company information in accordance with HIPAA and company policies.
• Assist with credentialing audits, compliance reviews, and corrective action initiatives.

Collaboration

• Collaborate with Provider Relations, Revenue Cycle, Compliance, Dispatch, Finance, and Operations to resolve credentialing issues.
• Communicate provider credentialing status to internal departments as needed.
• Participate in departmental meetings, process improvement initiatives, and cross-functional projects.
• Perform other duties as assigned by the Provider Network Manager, Credentialing Auditor, or other members of leadership.

Minimum Qualifications

Education

Required:

• Associate's degree in Business Administration, Healthcare Administration, Health Information Management, Public Health, Accounting, Finance, or a closely related field.

Preferred:

• Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Health Information Management, or a related discipline.

Experience

• Minimum of one (2) year of credentialing, provider enrollment, healthcare administration, compliance, or related experience preferred.
• Minimum of three (3) years of customer service or administrative support experience.
• Experience working with Medicaid, Managed Care Organizations (MCOs), healthcare providers, or Non-Emergency Medical Transportation (NEMT) is strongly preferred.

Knowledge, Skills & Abilities

• Knowledge of credentialing processes and provider compliance standards.
• Excellent organizational and documentation skills.
• Strong attention to detail with a high level of accuracy.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Strong analytical and problem-solving skills.
• Excellent verbal and written communication skills.
• Exceptional customer service and relationship-building abilities.
• Ability to maintain strict confidentiality.
• Ability to work independently with minimal supervision while contributing effectively to a team.
• Professional demeanor with a positive, solution-oriented attitude.

Technical Skills

• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, and Teams).
• Experience working within credentialing databases or document management systems preferred.
• Ability to quickly learn multiple software platforms and internal systems.
• Strong data entry skills with a high degree of accuracy.

Work Environment

• Professional office environment.
• Moderate office noise level.
• Frequent use of computers, scanners, telephones, and other office equipment.
• Standard work schedule is Monday through Friday, with additional hours as business needs require.

Physical Requirements

The physical demands described are representative of those required to successfully perform the essential functions of this position. Reasonable accommodations may be made for qualified individuals with disabilities.

• Frequent sitting while performing computer-based work.
• Frequent use of hands for keyboarding and office equipment.
• Frequent verbal communication in person and by telephone.
• Occasional standing, walking, bending, and lifting up to 25 pounds.
• Ability to maintain close visual attention while reviewing detailed documents and electronic records.

Core Competencies

• Attention to Detail
• Accountability
• Organization
• Communication
• Customer Service Excellence
• Teamwork
• Time Management
• Critical Thinking
• Adaptability
• Professionalism
• Integrity & Confidentiality

MediTrans, LLC is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other status protected by applicable federal, state, or local law.

Pay: $22.00 - $25.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Education:

• Associate (Preferred)

Experience:

• Credentialing: 2 years (Preferred)

Work Location: In person

Salary : $22 - $25