Remote Orthopaedic Credentialing Specialist

Socket.dev; Lafayette (LA); On-site; USD 55,000 - 75,000; Full time

Job summary

Socket.dev is seeking a detail-oriented Credentialing Specialist to join our healthcare team, focusing on orthopaedic provider credentialing. This remote role supports the credentialing lifecycle, primary source verification, and payer enrollment to uphold high patient care standards.

You will maintain digital records, monitor renewal deadlines, coordinate with payers, and generate regular status reports for leadership review.

Qualifications

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

Responsibilities

• Managing the comprehensive credentialing lifecycle for providers, including initial applications, reappointments, and ongoing monitoring of compliance requirements
• Conducting thorough primary source verification of medical education, training, licensure, and board certifications
• Maintaining detailed digital records and updating credentialing databases with precision and timeliness
• Coordinating with insurance payers for provider enrollment and network participation
• Proactively tracking and managing credential renewal deadlines to ensure continuous compliance
• Investigating and resolving credentialing discrepancies through appropriate channels
• Generating regular status reports and compliance updates for leadership review

Skills

Healthcare credentialing

Primary source verification

Records management

Regulatory compliance

Credentialing lifecycle

Payer enrollment

Attention to detail

Education

NAMSS Certification (CPCS or CPMSM)

Tools

CAQH ProView

Job description

Socket.dev is seeking a detail-oriented Credentialing Specialist to join our healthcare team, focusing on orthopaedic provider credentialing. This remote role supports the credentialing lifecycle, primary source verification, and payer enrollment to uphold high patient care standards.

You will maintain digital records, monitor renewal deadlines, coordinate with payers, and generate regular status reports for leadership review.