Credentialing Specialist Job at Louisiana Orthopaedic Specialists, Lafayette, LA

  • Louisiana Orthopaedic Specialists
  • Lafayette, LA

Job Description

Credentialing Specialist

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

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
  • Understanding of Louisiana Workers' Compensation Medical Treatment Guidelines for orthopaedic care
  • Familiarity with the Louisiana Uniform Credentialing Program

Job Tags

Remote work

Similar Jobs

Nibiru

Intern Job at Nibiru

Do frens identify you as autist? Lost monies in rugpulls? TikTok? If you sound like the right kind of idiot, we welcome you w/ open arms Email ****@*****.*** with a writeup for your fav protocol with in-depth explanation of mechanics + comparison vs rest of the landscape...

Cannonball Recruiting LLC

Structural Steel Fabricator 2nd shift Job at Cannonball Recruiting LLC

 ...Job Description Job Description Fabricator Pay: $22-28/hr. + 15% shift differential Shift: Mon-Thu (3:30pm to 2am) - Must be...  ...weeks Job Description: ~ We are seeking a skilled Structural Steel Fabricator for a steel fabrication facility. The ideal... 

Metropolis

Senior Financial Analyst Job at Metropolis

 ...meticulous integrity checks to ensure our financial data remains the "single source of truth" for the organization Continuously audit and refine financial workflows Identify opportunities to automate manual processes, shorten month-end reporting cycles, and document... 

Webco Manufacturing

Robotic Weld Operator Job at Webco Manufacturing

 ...Robotic Weld Operator $35-$40/hr for Day shift M-F 7am-330pm We are seeking a Robotic Weld Operator to join the Webco team. A successful Robotic Weld Operator at Webco increases production capacity through the programming (10%) and operating of our automated welding... 

RCM Healthcare Services

Substitute Teacher Job at RCM Healthcare Services

RCM is hiring Substitute Teachers to support K12 schools and districts. This is an in-person role providing classroom instruction during school hours. Daily Rate:$105 to $135 per day, based on education and qualifications. Long-term assignments (10+ consecutive instructional...