Credentialing Specialist

Job Description

Job Description

We are looking for an experienced Credentialing Specialist to join our team on a short-term contract basis in New Orleans, Louisiana. The ideal candidate will excel in managing the credentialing process for healthcare providers, ensuring compliance with Medicaid, Medicare, and various insurance requirements. This position offers the potential for hybrid work arrangements, with flexibility for remote opportunities.

Responsibilities :

• Manage the acquisition and verification of credentialing documentation for new and existing healthcare providers.
• Collaborate with providers to resolve any issues or discrepancies in their credentialing documentation.
• Oversee the distribution and organization of credentialing documents to ensure regulatory compliance.
• Develop and implement streamlined systems to maintain adherence to relevant standards and policies.
• Maintain an accurate and comprehensive database of credentialing information.
• Handle administrative tasks related to the credentialing process, addressing challenges as they arise.
• Ensure timely re-credentialing applications for providers across Medicaid, Medicare, and other insurance networks.
• Monitor and update systems to alert for upcoming credentialing deadlines.
• Provide consistent follow-up with providers and stakeholders to ensure seamless credentialing processes.
• Proven experience in credentialing processes, preferably within the healthcare industry.
• Familiarity with Medicaid, Medicare, and private insurance credentialing requirements.
• Strong attention to detail and commitment to maintaining accurate documentation.
• Proficiency in managing databases and tracking systems for credentialing purposes.
• Ability to troubleshoot and resolve issues efficiently during the credentialing process.
• Excellent communication skills for collaborating with healthcare providers and insurance networks.
• Solid organizational skills to manage multiple tasks and deadlines effectively.