Credentialing Representative
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Job Location:
Baton Rouge, LA - USA
Monthly Salary:
Not Disclosed
Posted on:
16 hours ago
Vacancies:
1 Vacancy
Job Summary
The Credentialing Representative plays a pivotal role in the credentialing and privileging of healthcare providers within our expansive organization. This entry-level administrative position involves processing credentialing and recredentialing applications including provider privileging while reviewing documentation preparing verification letters and maintaining our credentialing database. You will serve as the primary point of contact with medical staff offices licensing agencies and insurance carriers to facilitate timely application completion. This role operates under established guidelines and close supervision making it ideal for detail-oriented administrative professionals seeking to build a career in healthcare administration.
Responsibilities
Complete and submit provider credentialing forms ensuring accuracy and timeliness.
Conduct thorough background checks and verifications for healthcare providers.
Update and maintain credentialing databases with precise data entry and record-keeping.
Create and manage spreadsheets to track credentialing processes and documentation.
Act as the first point of contact for insurance carriers licensing agencies and medical staff offices handling inquiries with professionalism.
Collect and process provider documentation including managing files and assisting with communications between providers and payers.
Perform basic administrative tasks such as data entry and background screenings.
Maintain knowledge of Medical Staff Policies and Procedures related to credentialing and privileging.
Technical Skills and Competencies
Strong customer service orientation with excellent interpersonal and communication skills.
Proficiency in telephone etiquette and business correspondence.
Familiarity with Microsoft Office Suite including spreadsheet creation and maintenance.
Effective time management multitasking abilities and problem-solving skills.
Expertise in data entry verification and monitoring performance metrics.
Critical thinking skills with a focus on compliance and attention to detail.
Qualifications
Education: High School Diploma or equivalent
Experience: 4 years experience in healthcare provider relations or healthcare credentialing
Required Experience:
Unclear Seniority
Key Skills
- Data Entry
- Deputy
- Drafting
- Hibernate
- Administration Support
- Activex
About Company
The Franciscan Missionaries of Our Lady Health System is one of the largest healthcare systems based in Louisiana and is the leading healthcare provider for more than half the state’s population. The health system is a non-profit, Catholic organization sponsored by the Franciscan Miss ... View more
