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We are looking for an experienced Credentialing Specialist to join our team on a short-term contract basis in New Orleans, Louisiana. The ideal candidate will excel in managing the credentialing process for healthcare providers, ensuring compliance with Medicaid, Medicare, and various insurance requirements. This position offers the potential for hybrid work arrangements, with flexibility for remote opportunities.
Job Responsibility:
Manage the acquisition and verification of credentialing documentation for new and existing healthcare providers
Collaborate with providers to resolve any issues or discrepancies in their credentialing documentation
Oversee the distribution and organization of credentialing documents to ensure regulatory compliance
Develop and implement streamlined systems to maintain adherence to relevant standards and policies
Maintain an accurate and comprehensive database of credentialing information
Handle administrative tasks related to the credentialing process, addressing challenges as they arise
Ensure timely re-credentialing applications for providers across Medicaid, Medicare, and other insurance networks
Monitor and update systems to alert for upcoming credentialing deadlines
Provide consistent follow-up with providers and stakeholders to ensure seamless credentialing processes
Requirements:
Proven experience in credentialing processes, preferably within the healthcare industry
Familiarity with Medicaid, Medicare, and private insurance credentialing requirements
Strong attention to detail and commitment to maintaining accurate documentation
Proficiency in managing databases and tracking systems for credentialing purposes
Ability to troubleshoot and resolve issues efficiently during the credentialing process
Excellent communication skills for collaborating with healthcare providers and insurance networks
Solid organizational skills to manage multiple tasks and deadlines effectively
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