Description We are seeking a detail-oriented Credentialing Specialist to join our healthcare team, focusing on orthopaedic provider credentialing. This remote position plays a crucial role in maintaining the highest standards of patient care and regulatory compliance by managing the credentialing process for our orthopaedic healthcare providers. The Virtual Credentialing Specialist will ensure the accurate verification and maintenance of healthcare provider credentials through: 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 Requirements Required Qualifications Minimum of 2 years' experience in healthcare credentialing Demonstrated proficiency in electronic credentialing management systems Strong understanding of healthcare regulations and accreditation standards Excellent organizational skills with exceptional attention to detail Preferred Qualifications NAMSS Certification (CPCS or CPMSM) Experience with Louisiana State Board of Medical Examiners (LSBME), Louisiana Board of Nursing and Pharmacy Demonstrated proficiency with Louisiana Medicaid and MCO credentialing requirements Familiarity with the Council for Affordable Quality Healthcare (CAQH) Experience with Louisiana hospital privileging systems Understanding of Louisiana Workers' Compensation Medical Treatment Guidelines for orthopaedic care Familiarity with the Louisiana Uniform Credentialing Program This job in onsite. #J-18808-Ljbffr
...supervision of the Department Director and or Manager (or LCSW / LICSW), utilizes clinical social work techniques and theory to provide consultation,... ...determinants of health. Position : Clinical Social Worker Department : Social Workers Schedule : Full Time...
...Job Description Job Description The Grinnell College Biology Department seeks a manager for its greenhouse, located in the Noyce Science Center. This person will oversee the care of cultivated plants employed in the Biology Department curriculum. These plants include...
...thriving TEAM orientedculture. Jobdescription AsamemberoftheExxelTEAM,theProjectManagerisresponsibleformanagingallaspectsofoneormoreconstructionprojectsfrompre-constructionandprojectset-uptocloseoutanddeliversprojectssuccessfully...
We're Hiring: Project Manager (K-12 / Base Build Experience) | DMV SL Recruit is a DC-area recruiting firm focused on construction management... ...lifecycle Manage submittals, RFIs, change orders, and contract documentation Oversee site logistics and safety compliance...
...looking for the best, most qualified people to join our team. Pre-employment drug testing (EOE) Great Benefits offered! Web Developer/Designer US-PA-Skippack Job ID: 2026-3156# of Openings: 1 Category: Marketing The H&K Group, Inc. Overview...