Current jobs related to Medical Credentialing Specialist - Lafayette - Core Clinical Management LLC


  • Lafayette, Louisiana, United States Community Care Partners Full time

    {"Job Title": "Provider Credentialing Specialist", "Job Summary": "We are seeking a highly organized and detail-oriented Provider Credentialing Specialist to join our team at Community Care Partners. In this role, you will be responsible for coordinating and monitoring the credentialing and enrollment process for our providers, ensuring timely and compliant...


  • Lafayette, Louisiana, United States Clinica Family Health Full time

    Clinica Family HealthJob Title: Credentialing SpecialistJob Summary:We are seeking a skilled Credentialing Specialist to join our team at Clinica Family Health. As a Credentialing Specialist, you will be responsible for verifying the credentials of healthcare providers and clinical staff to ensure that all necessary licenses and credentials are valid and...


  • Lafayette, Louisiana, United States Community Care Partners Full time

    Job SummaryCommunity Care Partners is seeking a highly organized and detail-oriented Provider Credentialing Specialist to join our team. As a key member of our administrative staff, you will be responsible for coordinating and maintaining the credentialing and enrollment process for our healthcare providers.Key ResponsibilitiesCredentialing and Enrollment:...


  • Lafayette, Louisiana, United States Community Care Partners Full time

    Job SummaryCommunity Care Partners is seeking a highly organized and detail-oriented Credentialing and Enrollment Coordinator to join our team. As a key member of our medical staff services team, you will be responsible for coordinating, monitoring, and maintaining the credentialing and provider enrollment process in a timely and compliant manner.Key...


  • Lafayette, Louisiana, United States Community Care Partners Full time

    Job SummaryCommunity Care Partners is seeking a highly organized and detail-oriented Credentialing and Enrollment Coordinator to join our team. As a key member of our medical staff services department, you will be responsible for coordinating, monitoring, and maintaining the credentialing and provider enrollment process in a timely and compliant manner.Key...


  • Lafayette, Tennessee, United States Practice Management Resource Group Full time

    Job OverviewBenefits and AdvantagesAttractive Salary PackagePositive Work EnvironmentOpportunities for Professional GrowthPosition SummaryWe are looking for a Healthcare Credentialing Specialist to take on essential responsibilities in our organization. In this role, you will be tasked with gathering and organizing up-to-date information on all credentialed...


  • Lafayette, United States Community Care Partners Full time

    The Provider Credentialing & Enrollment Coordinator is responsible for coordinating, monitoring and maintaining the credentialing/provider enrollment and re-enrollment process in a timely and compliant manner, in accordance with departmental procedures, with all contracted commercial and government payors. The coordinator will maintain communication with...


  • Lafayette, Louisiana, United States i3 Verticals Full time

    Job Title: Medical Coding SpecialistAt i3 Verticals, we are seeking a highly skilled Medical Coding Specialist to join our team. As a Medical Coding Specialist, you will play a critical role in ensuring the accuracy and integrity of our clients' medical records.Key Responsibilities:Assign and sequence ICD-10 and CPT codes and modifiers accuratelyCommunicate...


  • Lafayette, Louisiana, United States Curana Health Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Provider Enrollment Specialist to join our team at Curana Health. As a key member of our operations team, you will play a critical role in ensuring the smooth enrollment and credentialing of new providers in all applicable insurance carriers.Key ResponsibilitiesAssist new providers in...


  • Lafayette, United States i3 Verticals Management Services, Inc. Full time

    Job DescriptionJob DescriptionJOB TITLE: Medical Coding SpecialistDEPARTMENT: Healthcare Vertical: ACSREPORTS TO: Manager and/or Area ManagerSUPERVISORY RESPONSIBILITIES: noJOB LOCATION: VariedTRAVEL: noSUMMARY OF POSITION: Under the directions of the Coding Services Supervisor and Manager, this position will be responsible for CPT and ICD-10 coding and...


  • Lafayette, Louisiana, United States RTG Medical-Nursing Full time

    Job Summary:RTG Medical-Nursing is seeking a skilled Medical-Surgical Nurse Specialist to join our team for a travel nursing assignment. As a trusted partner in the healthcare industry, we offer a comprehensive benefits package and a commitment to our core values: People First, Integrity, and Accountability.About the Role:We are looking for a highly...


  • Lafayette, Louisiana, United States Viemed Healthcare Inc. Full time

    Job Title: Medical Billing SpecialistViemed Healthcare Inc. is seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will play a critical role in ensuring the accurate and timely submission of medical claims to insurance providers.Key Responsibilities:Review and process medical claims for accuracy and...


  • Lafayette, Indiana, United States InSearch Medical Full time

    Exciting Opportunity for Radiologic Imaging ProfessionalsAre you a proficient Radiologic Imaging Specialist eager to leverage your skills in medical imaging? We present a fulfilling role where you can deliver outstanding care to patients of all demographics.Attractive Compensation of up to $45.50 per hourPosition Overview:Conduct diagnostic and therapeutic...


  • Lafayette, Louisiana, United States State of Louisiana Full time

    Job SummaryWe are seeking a highly skilled and compassionate Medical Care Specialist to join our team at the State of Louisiana. As a key member of our healthcare team, you will provide medical care to trainees enrolled in our program, working under the supervision of a Registered Nurse and following orders and guidelines of the Medical Doctor.Key...


  • Lafayette, Louisiana, United States Biolife Plasma Services Full time

    About the RoleWe are seeking a highly skilled and compassionate Medical Support Specialist to join our team at BioLife Plasma Services. As a Medical Support Specialist, you will play a critical role in ensuring the safety and well-being of our donors, while also contributing to the collection of high-quality plasma that will become life-changing...


  • Lafayette, Louisiana, United States Premise Health Full time

    Job SummaryPremise Health is seeking a highly skilled and detail-oriented Medical Support Specialist to join our team. As a Medical Support Specialist, you will play a vital role in providing exceptional patient care and administrative support to our healthcare team.Key ResponsibilitiesConduct patient interviews, take vital signs, and record information on...


  • Lafayette, Louisiana, United States OneStaff Medical Full time

    Diagnostic Imaging Specialist **Job Summary** OneStaff Medical is seeking a skilled Diagnostic Imaging Specialist to join our team. As a Diagnostic Imaging Specialist, you will be responsible for creating high-quality images of the human body using cutting-edge imaging methods. Your expertise will help physicians diagnose and treat illnesses or injuries...


  • Lafayette, United States Ethos Risk Services Full time $13 - $14

    Job DescriptionJob DescriptionAbout Us:Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering...


  • Lafayette, Louisiana, United States OneStaff Medical Full time

    Job Opportunity: Diagnostic Imaging SpecialistWe are seeking a skilled Diagnostic Imaging Specialist to join our team at OneStaff Medical. As a Diagnostic Imaging Specialist, you will be responsible for operating sonographic scanners to create images of patients' internal organs.Key Responsibilities:Operate sonographic scanners to produce high-quality images...


  • Lafayette, Louisiana, United States OneStaff Medical Full time

    Job Title: Diagnostic Imaging SpecialistWe are seeking a skilled Diagnostic Imaging Specialist to join our team at OneStaff Medical. As a Diagnostic Imaging Specialist, you will be responsible for operating sonographic scanners to create images of patients' internal organs.About the JobThis is a travel assignment opportunity for a Diagnostic Imaging...

Medical Credentialing Specialist

3 months ago


Lafayette, United States Core Clinical Management LLC Full time
Job DescriptionJob DescriptionDescription:

Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery.


Because of our exciting growth, we are hiring a Medical Credentialing Specialist. The Credentialing Specialist is responsible for partnering with medical providers, hospitals, insurance companies, operations leaders, and other stakeholders to ensure providers are credentialed.


Essential Duties:

  • Stay abreast of credentialing and recredentialing requirements for each client group
  • Requests, reviews, and verifies credentialing applications and supporting documentation
  • Establish and maintain database of provider details and credentialing data
  • Monitor license and certification expirations for providers to ensure timely renewals
  • Notify providers and administration of upcoming expirations and documentation requests
  • Collaborate with hospitals, insurance companies, and other stakeholders to extend information and track credentialing process
  • Provide status updates to operations leaders, providers, and other stakeholders
  • Resolve issues that arise and escalate when appropriate
  • Other duties as assigned

Skills, Knowledge, Abilities:

  • Knowledgeable on credentialing requirements and workflows for providers at differing client groups
  • Familiar with healthcare jargon and terminology related to credentialing
  • Excellent verbal and written communication skills
  • Excellent interpersonal and customer service skills
  • Proficient in Microsoft Office and credentialing related software
  • Excellent organizational skills and attention to detail
  • Work independently and exercise judgement on decision making and issue resolution
  • Navigate competing priorities and effectively work in a fast-paced environment
  • Manage information flow in a timely and accurate manner
  • Collaborate with an array of professionals at various client groups and geographic locations
  • Identify and execute opportunities for improvement
  • Exhibit growth mindset and team-orientated behaviors


Requirements:

Experience:

  • Prior administrative experience in a healthcare environment
  • Medical credentialing experience preferred
  • Experience with MS Outlook, Word, and Excel
  • Experience with MS Teams and credentialing software preferred