Medical Staff Credentialing Specialist, Sr. jobs in Louisiana
Medical Staff Credentialing Specialist, Sr. processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist, Sr. loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist, Sr. handles and resolves inquiries regarding credentialing information, process, or status. May provide guidance or expertise to less experienced specialists. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Medical Staff Credentialing Specialist, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Recently Added Medical Staff Credentialing Specialist, Sr. jobs
Credentialing Specialist
- Louisiana Primary Care Association
-
Baton Rouge, LA
FULL_TIME
-
Louisiana Primary Care Association
Baton Rouge, LA
Supervisor: Credentialing Manager
Position Summary
The Credentialing Specialist is responsible for organizing, maintaining, and verifying all aspects of the credentialing process for the LPCACO network practitioners including gaining adoption from the LPCACO member Health Centers for the core credentialing platform (CredentialStream by VerityStream), ensuring that implementation activities are completed, actively reviewing credentialing data to protect data integrity, and establishing and maintaining key support functions related to the program.
Duties And Responsibilities- Assist the Credentialing Manager to ensure that the workflows and processes supported by CredentialStream will meet the credentialing files for all licensed and certified staff in compliance with Federal Tort Claims Act (FTCA) requirements.
- Assist the Credentialing Manager in assisting new and renewing providers with privileging and credentialing applications; monitor completion and follow-up as needed.
- Assist the Credentialing Manager in tracking license and certification expirations for all licensed staff to ensure timely renewals and maintain current copies of licensure for DEA, State License, and professional liability.
- Assist the Credentialing Manager in conducting required National Databank and OIG searches for new and current providers.
- Assist the Credentialing Manager in processing all requests from payors for credentialing information/updates/new contracts and products.
- Adhere to HIPAA guidelines.
- Any other duties as deemed necessary by the supervisor.
- High school diploma or GED; at least 2 years of experience directly related to the duties and responsibilities specified.
- Ability to communicate effectively both orally and in writing.
- Customer service skills.
- Ability to respond to emails timely and effectively.
- Information research skills.
- Knowledge of medical provider credentialing and accreditation principles, policies, processes, procedures, and documentation.
- Working knowledge of clinical and/or hospital operations and procedures.
- Ability to use independent judgment and to manage and impart confidential information.
- Ability to maintain confidentiality and discretion in all communications on behalf of credentialing applicants and/or applications.
- Demonstrated advanced working knowledge of Microsoft Word and Excel.
- Ability to learn new applications to function effectively in a remote work environment.
- Skill in establishing priorities with independent coordination of day-to-day aspects.
- 10 Days Ago
Credentialing Specialist
- CAPITOL IMAGING SERVICES LLC
-
Metairie, LA
FULL_TIME
- Capitol Billing Group has been in business since 1973. The company is a dynamic and growing company looking for an enthusiast and energetic candidate to add to the team. Our commitment to quality care...
- 1 Month Ago
Credentialing Specialist
- Robert Half
-
Orleans, LA
OTHER
- Robert Half has an opening for a Credentialing Specialist for someone who is deeply passionate about growing their career in the medical industry. Do you have experience in credentialing in a hospital...
- 13 Days Ago
Credentialing Specialist
- Abbeville General
-
Abbeville, LA
FULL_TIME
- Abbeville General Hospital is hiring for a Credentialing Specialist: Full time Credentialing Specialist for the Performance Improvement department for Day Shift (8:00a-4:30p) Credentialing Specialist ...
- 16 Days Ago
Credentialing Specialist
- Gainwell Technologies
-
Baton Rouge, LA
FULL_TIME
- Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have ...
- 19 Days Ago
Office Assistant & Credentialing Specialist
- UNI United Nursing International
-
Metairie, LA
FULL_TIME
- UNI is looking to hire a full time Office Assistant & Credentialing Specialist for our office. In this role, you are expected to wear multiple hats and will be trained to multi-task. This position is ...
- 5 Days Ago
Medical Staff Credentialing Specialist, Sr. jobs at Popular Companies
CREDENTIALING SPECIALIST
- River City Staffing, Inc.
-
Jackson, CA
- Physician Credentialing Specialist urgently needed in Jackson, CA for an onsite position at a large healthcare organizat...
- 6/11/2024 12:00:00 AM
Credentialing Specialist
- TAG - The Aspen Group
-
Syracuse, NY
- The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U. ...
- 6/10/2024 12:00:00 AM
Credentialing Specialist
- Catholic Health Initiatives
-
Chattanooga, TN
- **Overview** CHI Memorial Hospital now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and ...
- 6/10/2024 12:00:00 AM
Credentialing Specialist
- Coda Staffing
-
Wayne, NJ
- Job Description Job Description Qualifications: · Credentialing Experience and process preferred for managed care compan...
- 6/8/2024 12:00:00 AM
Credentialing Specialist
- IDR
-
Atlanta, GA
- Credentialing Specialist IDR is seeking a Credentialing Specialist to join one of our top clients in Pennsylvania. If yo...
- 6/8/2024 12:00:00 AM
Credentialing Specialist
- Addison Group
-
St Louis, MO
- The actual job duties of a certification/credentialing specialist are many, and each is equally as important in ensuring...
- 6/7/2024 12:00:00 AM
Credentialing Specialist
- iCare Health Solutions Enterprise
-
- Develop and cultivate productive relationships with providers, retail chains, strategic partners and their staff. Elevat...
- 6/7/2024 12:00:00 AM
Credentialing Specialist
- Sycamore Independent Physicians
-
Huntsville, AL
- Job Summary: Obtain and process internal RRPA provider applications and supporting documentation for purposes of insuran...
- 6/7/2024 12:00:00 AM
About Louisiana
Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico.
The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast.
The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$49,218 to $61,387