Credentialing Specialist

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