Credentialing Specialist [United States]


 

About us:

OrthoLA is multi-specialty Orthopaedic group practice. With six clinic locations across south Louisiana, our goal is to provide effective and innovative care to the communities we serve with the highest level of integrity, compassion and professionalism.

Overview:

The Credentialing Specialist maintains pertinent credentialing information for all providers in order to meet the credentials, standards and requirements of hospitals, affiliated facilities, and healthcare networks.

Responsibilities:

  • Maintains and updates credentialing files, provider rosters, and CAQH/Proview database, in compliance with regulatory standards
  • Initiation and Maintenance of Provider licensure, certifications, and insurance coverage
  • Initiation and Maintenance of Facility and Network Affiliations
  • Answers, researches, resolves and documents credentialing issues
  • Ensures the timely and accurate submission of data to ensure deadlines are met
  • Acts as liaison between providers and affiliated facilities and networks regarding credentialing and re-credentialing activities
  • Communicates pertinent updates and changes to management.
  • All other clerical and administrative duties as assigned.

Qualifications:

Skills & Abilities

  • Works independently with minimal supervision.
  • Able to effectively problem solve, prioritize and meet deadlines.
  • Posses excellent verbal and written communication skills.
  • Maintains confidentiality of sensitive information.

Education & experience:

  • High school diploma or equivalent
  • Minimum one-year experience in a medical office or hospital contributing to, completing, or processing credentialing applications and required documents of providers.
  • Experience in data entry, effectively demonstrating high quality and attention to detail and accuracy

Job Type: Full-time

Benefits:

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

Schedule:

  • Monday to Friday

Work Location: In person

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