Medical Staff Credentialing Specialist jobs in Louisiana

Medical Staff Credentialing Specialist processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist 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 handles and resolves inquiries regarding credentialing information, process, or status. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Staff Credentialing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Credentialing Specialist
  • Louisiana Primary Care Association
  • Baton Rouge, LA FULL_TIME
  • Credentialing Specialist
    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 Credentialing Manager in assisting new and renewing providers with privileging and credentialing applications; monitor completion and follow-up as needed.
    • Assist 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 Credentialing Manager in conducting required National Databank and OIG searches for new and current providers.
    • Assist 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 supervisor. 
    Minimum Job Requirements:
    • High school diploma or GED; at least 2 years of experience directly related to the duties and responsibilities specified.
    Knowledge, Skills and Abilities Required:
    • 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.
  • 6 Days Ago

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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...
  • 6 Days Ago

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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...
  • 9 Days Ago

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Credentialing Specialist
  • New Era Billing Services, LLC
  • Bossier, LA CONTRACTOR,PART_TIME,TEMPORARY
  • DESCRIPTION The Credentialing Specialist is responsible for maintaining provider profiles for all providers by successfully completing initial and subsequent credentialing packages as required by all ...
  • 23 Days Ago

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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 ...
  • 2 Months Ago

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Medical Receptionist
  • Specialist Physician Practice
  • Mandeville, LA PART_TIME
  • Private practice seeks individual to fill a part-time front office position. Primary duties include checking patients in and out, verifying insurance, answering the phone, and scheduling patient appoi...
  • 9 Days Ago

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Clinical Director, New York
  • Atria Institute
  • New York, NY
  • About Atria: Atria is a membership-based preventive health care practice delivering cutting-edge primary and specialty c...
  • 5/10/2024 12:00:00 AM

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Special Education Teacher
  • Point Quest Group
  • Sacramento, CA
  • Point Quest Group is hiring! Special Education Teachers - Fully Credentialed Special Education Teachers in Sacramento, C...
  • 5/10/2024 12:00:00 AM

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Social Worker - Fairfax, VA (On-site)
  • VCA Animal Hospitals
  • VCA Southpaws Veterinary Specialists & Emergency is actively seeking an experienced Social Worker to pioneer a new role ...
  • 5/10/2024 12:00:00 AM

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Licensed Clinical Social Worker - *bilingual sign on bonus!
  • Petaluma Health Center
  • Petaluma, CA
  • $10,000 signing bonus for Bilingual (Spanish) providers! The Licensed Clinical Social Worker will provide high-quality p...
  • 5/10/2024 12:00:00 AM

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Third Party Payor Credentialing Specialist
  • Banyan Health Systems
  • Miami, FL
  • Come and join and amazing established growing healthcare company with a 53 year history! Banyan Health Systems has been ...
  • 5/10/2024 12:00:00 AM

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Board Certified Behavior Analyst
  • NeurAbilities Healthcare
  • Wyomissing, PA
  • Join a team striving to be better, do better, and which empowers others to live a better life. Be a BCBA with our Wyomis...
  • 5/10/2024 12:00:00 AM

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Credentialing Assistant
  • Boston Children's Hospital
  • Boston, MA
  • The Credentialing Assistant will be responsible for: Coordinating and supporting the Medical Staff Credentialing Special...
  • 5/9/2024 12:00:00 AM

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Medical Staff Credentialing Specialist, SR
  • Reef Systems
  • Cannon Afb, NM
  • The candidate shall have a minimum of 1 to 3 years of practical experience in providing credentialing and privileging i....
  • 5/8/2024 12:00:00 AM

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 jobs
$42,531 to $53,502

Medical Staff Credentialing Specialist in Lawton, OK
Under the direction of the Medical Staff Affairs Manager, this position will work independently but also collaborate and work with other team members of the Medical Staff Office.
January 03, 2020
Medical Staff Credentialing Specialist in Passaic, NJ
Knowledge of TJC, NCQA and CMS credentialing standards preferred.
January 10, 2020
Medical Staff Credentialing Specialist in Saint Cloud, MN
The Medical Staff Services Facility Specialist is also responsible for the accuracy and integrity of the credentialing and clinical privileging database system.
November 28, 2019