Orthopaedic Credentialing Specialist - Onsite

Laorthospec; Lafayette, Northern (LA, KY); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Laorthospec in Louisiana, Lafayette is seeking a detail-oriented Credentialing Specialist to manage the credentialing lifecycle for our orthopaedic care team. You will verify credentials, maintain records, and support enrollment with payers while monitoring renewal deadlines to ensure compliance.

Primary source verification and precise database management are essential, with strong knowledge of regulations and accreditation standards guiding every decision.

Qualifications

• Minimum 2 years' experience in healthcare credentialing.
• Proficient with electronic credentialing management systems.
• Strong knowledge of healthcare regulations and accreditation standards.
• Excellent organizational skills and attention to detail.

Responsibilities

• Manage the credentialing lifecycle for providers (initial apps, reappointments, ongoing monitoring).
• Conduct primary source verification of education, training, licensure, and board certifications.
• Maintain digital credentialing records and update databases.
• Coordinate with insurance payers for provider enrollment and network participation.
• Track renewal deadlines and ensure continuous compliance.
• Investigate credentialing discrepancies and resolve them.
• Generate status reports and compliance updates for leadership.

Skills

Healthcare credentialing

Credentialing systems

Regulatory compliance

Attention to detail

Tools

Credentialing software

CAQH

Job description

Laorthospec in Louisiana, Lafayette is seeking a detail-oriented Credentialing Specialist to manage the credentialing lifecycle for our orthopaedic care team. You will verify credentials, maintain records, and support enrollment with payers while monitoring renewal deadlines to ensure compliance.

Primary source verification and precise database management are essential, with strong knowledge of regulations and accreditation standards guiding every decision.