Credentialing Specialist

DESCRIPTION

Credentialing Specialist

Responsible for verifying the qualifications of healthcare professionals, ensuring compliance with industry standards, and maintaining accurate records of credentials.

• Maintain licensing, credentials and insurance records.

• Credential verification: review and authenticate credentials, qualifications, licenses and certifications of healthcare providers to ensure accuracy and compliance with regulatory standards.

• Database Management: Maintain and update credentialing spreadsheets, tracking expiration dates of license and certification to ensure timely renewals.

• Documentation: Prepare, submit and maintain documentation for enrollment, credentialing, and recredentialing of healthcare providers for insurance companies as well as facilities.

• Communication: Liaise with healthcare providers to address discrepancies or missing information in their applications.


REQUIREMENTS

• Ability to meet strict deadlines • Attention to detail • Good communication skills • Knowledgeable in policies and procedures • Strong computer skills • Proficiency in data entry • Willingness to work as a team player • Good organizational skills

We are a dedicated medical team of primary care , specialists, and nurse practitioners. We provide medical services at several healthcare facilities including our state-of-the-art office, local acute care hospitals, rehabilitation hospitals, long-term acute care facilities, and Louisiana nursing homes.