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

TempCare Childcare Staffing Inc.

Substitute Preschool Teacher (12 ECE+) or Assistant Teacher (6 ECE) Job at TempCare Childcare Staffing Inc.

 ...staffing service for Early Childhood Educators. We recruit and place Teachers and Aides in temporary and permanent positions, ranging from...  ...age. We have been around since 1988. We are looking for substitutes part-time, full time and temp to hire for Preschool positions... 

Dentaldepotarizona

Data Analyst Job at Dentaldepotarizona

 ...Job Description DATA ANALYST POSITION SUMMARY THIS POSITION IS IN STATE, IN OKLAHOMA CITY. IT IS NOT A REMOTE POSITION. Primary...  ...in data analytics, reporting, or related technical roles (internships, academic projects, or handson experience acceptable).... 

Orbital Engineering, Inc.

Electrical Construction Coordinator - Substation & Distribution Line - Eastern Pennsylvania Job at Orbital Engineering, Inc.

 ...Electrical Construction Coordinator - Substation & Distribution Line Location: Eastern Pennsylvania FLSA Classification...  ...safety incidents to clients construction manager and Orbital supervisor. Work with construction supervision and on-site safety personnel... 

Kokosing

Lube Technician Job at Kokosing

 ...services include heavy civil/industrial construction such as highways, bridges, underground utilities, water/wastewater facilities, and marine construction. For over 75 years, Kokosing has successfully attracted the most qualified technical personnel in the construction... 

HAN Staffing

Python Developer Job at HAN Staffing

 ...25947711Reference Number: 25-00828Title: Python DeveloperLocation: Malvern, PAPosted Date...  ...Staffing We're looking for a Senior Python Developer with 8-10 years of experience in Python...  ...pipelines.Key Skills:Python: 8-10 years (Django/Flask experience preferred)AWS: 7-8 years...