Credentialing Specialist Job at LOUISIANA ORTHOPAEDIC SPECIALISTS LLC, Lafayette, LA

  • LOUISIANA ORTHOPAEDIC SPECIALISTS LLC
  • Lafayette, LA

Job Description

Job Description

Job Description

Description:

We are seeking a detail-oriented Credentialing Specialist to join our healthcare team, focusing on orthopaedic provider credentialing. This remote position plays a crucial role in maintaining the highest standards of patient care and regulatory compliance by managing the credentialing process for our orthopaedic healthcare providers.

The Virtual Credentialing Specialist will ensure the accurate verification and maintenance of healthcare provider credentials through:

  • Managing the comprehensive credentialing lifecycle for providers, including initial applications, reappointments, and ongoing monitoring of compliance requirements 
  • Conducting thorough primary source verification of medical education, training, licensure, and board certifications 
  • Maintaining detailed digital records and updating credentialing databases with precision and timeliness 
  • Coordinating with insurance payers for provider enrollment and network participation 
  • Proactively tracking and managing credential renewal deadlines to ensure continuous compliance 
  • Investigating and resolving credentialing discrepancies through appropriate channels 
  • Generating regular status reports and compliance updates for leadership review 

Requirements:

Required Qualifications

  • Minimum of 2 years' experience in healthcare credentialing 
  • Demonstrated proficiency in electronic credentialing management systems 
  • Strong understanding of healthcare regulations and accreditation standards 
  • Excellent organizational skills with exceptional attention to detail 

Preferred Qualifications

  • NAMSS Certification (CPCS or CPMSM) 
  • Experience with Louisiana State Board of Medical Examiners (LSBME), Louisiana Board of Nursing and Pharmacy
  • Demonstrated proficiency with Louisiana Medicaid and MCO credentialing requirements
  • Familiarity with the Council for Affordable Quality Healthcare (CAQH)
  • Experience with Louisiana hospital privileging systems 
  • Familiarity with the Louisiana Uniform Credentialing Program 

This job in onsite.

Job Tags

Similar Jobs

Providence Health and Services

Behavioral Health Specialist (Bachelor's) Job at Providence Health and Services

 ...that meet qualifications will receive an invite with additional screening questions from our HireVue system! The Mental Health Specialist works with other members of MHS staff to provide clerical and admitting support, student care through assisting the nursing and... 

Chris Burt - State Farm Agent

Remote Customer Service Specialist Growth & Benefits Job at Chris Burt - State Farm Agent

 ...Chris Burt - State Farm Agent is seeking a Customer Service Representative to deliver exceptional customer experiences and support the growth...  ...fast-paced, supportive environment. The role is primarily remote, with initial in-office training. Flexible work-from-home... 

Ulta Beauty

Seasonal Beauty Concierge: Elevate Guest Experience Job at Ulta Beauty

 ...excitement. A place where the joy of discovery and uncommon artistry blend to create exhilarating buying experiencesfor true beauty enthusiasts. At Ulta Beauty, we're transforming the world one shade, one lash, one cut at a time. Because beauty is powerful. If you seek... 

Epro Consulting

PeopleSoft Admin Job at Epro Consulting

 ...today enable companies to operate more efficiently and produce more value. Job Description Mandatory Technical Skills PeopleSoft Admin/DBA with Technical and analytical skills Expertise on STAT tools Strong knowledge on LDAP, SSL certs Good... 

SFE

Administrative-Scheduler Job at SFE

 ...responsibility prior to the point of service. Provide estimates for services as requested by the patient. Collect pre-payment for hospital services that are not covered by the patient's insurance, including co-pays, deductibles, or prior patient balances. Process...