Credentialing Specialist
90a9541d-a793-485d-81dc-263381082a51 · Baton Rouge, LA
22 to 27 (USD) Hourly · part_time · via adp
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Sign up free →We are looking for a credentialing specialist to support 3 small hospitals. This role combines remote and on-site support and will be based in Baton Rouge.
Estimating that this will be around 24 hours a week, with some weeks requiring up to 30 hours a week.
Core Duties:This position verifies healthcare professionals' credentials to ensure they are current and meet regulatory standards. They also ensure that medical facilities and their services comply with government agency standards.
- Create and maintain licensing, credentials, and insurance records
- Conduct research on updated state and federal regulations and policies
- Release information to requesting agencies and public inquiries when required by law
- Help develop internal credentialing processes and train new credentialing team members
- Monitor license and credential expiration dates and advise staff members of required “renew by” dates
- Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institutions
Key competencies include:
- Knowledge of applicable regulations, laws, and policies
- Ability to track, follow up on open items, and meet deadlines
- Ability to communicate and build relationships with physicians being credentialed and their office staff
- Strong organizational & computer skills; MS Office, data
- Ability to work independently and with a team with an emphasis on accuracy and timeliness
- Excellent communication and interpersonal skills
Requirements
- High school diploma
- At least 1 year of experience in physician credentialing (3 years preferred)
- Certified Provider Credentialing Specialist (CPCS) - preferred