Provider Credentialing Specialist for Compliance & Records

Wishalicious; Bossier City (LA); Vor Ort; USD 45.000 - 70.000; Vollzeit

Benefits dieser Stelle

401(k)

Dental insurance

Health insurance

Life insurance

Paid time off

Vision insurance

Zusammenfassung

Wishalicious in the United States (Louisiana) is seeking a Credentialing Specialist to manage provider credentialing, ensure regulatory compliance, and coordinate across departments for timely and accurate processing.

Role requires experience in a medical office, knowledge of medical terminology, and strong organizational and communication skills. You will maintain records, support audits, and respond to inquiries from staff and external agencies.

Qualifikationen

• Previous experience in a medical office setting.
• Strong understanding of medical terminology and healthcare standards.
• Familiarity with managed care processes is a plus.
• Excellent organizational skills with attention to detail.
• Ability to work independently as well as part of a team.
• Strong communication skills, both written and verbal.
• Proficiency in using computer systems for data entry and record management.

Aufgaben

• Review and verify credentials of healthcare providers, including education, training, licensure, and certifications.
• Maintain accurate records of all credentialing activities in accordance with established standards and policies.
• Collaborate with medical staff and department heads to gather necessary documentation for credentialing applications.
• Ensure compliance with managed care requirements and accreditation standards throughout the credentialing process.
• Conduct regular audits of provider credentials to ensure ongoing compliance with regulatory requirements.
• Assist in the development and implementation of credentialing policies and procedures.
• Respond to inquiries related to provider credentials from internal staff and external agencies as needed.

Kenntnisse

Medical office experience

Medical terminology

Managed care knowledge

Organizational skills

Teamwork and independence

Communication skills

Data entry and records management

Jobbeschreibung

Wishalicious in the United States (Louisiana) is seeking a Credentialing Specialist to manage provider credentialing, ensure regulatory compliance, and coordinate across departments for timely and accurate processing.

Role requires experience in a medical office, knowledge of medical terminology, and strong organizational and communication skills. You will maintain records, support audits, and respond to inquiries from staff and external agencies.