Credentialing Specialist
Baton Rouge, LA, United StatesYesterday
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Key details
- Location
- Baton Rouge, LA, United States
- Work style
- Remote
- Level
- Entry level
- Job type
- Part-time
- Experience
- 1–4 yrs
- Function
- Operations & Strategy
- Focus area
- other
- Posted
- Yesterday
Skills
estimatingmicrosoft office
About the role
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