Credentialing Specialist (Full Time)

Lake Charles Memorial Health System


Date: 2 weeks ago
City: Lake Charles, LA
Contract type: Full time
Description Of Position

  • Works with Hospital Administration as a liaison with the Medical Staff and Insurance Payers. Plans, develops, organizes, and controls the operation of the Provider Enrollment to insure that providers are enrolled in all reimbursement agencies and remain current. Credentialing Specialist will to contribute to meeting the mission and goals of the Hospital and to meet the requirements of the Medical Staff Bylaws, JCAHO Standards, and other applicable federal, state, and local regulatory and/or accrediting agencies.

SUPERVISION: Reports directly to the Office Manager

Responsibilities And Duties

  • Maintains all websites for providers.
  • Maintains spreadsheets of provider information.
  • Credentialing/recredentialing for all providers.
  • Utilizes AllScripts
  • Follow up with Payors
  • Maintains all provider documentation used for credentialing

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Education And Work Experience

  • High School Diploma or GED
  • 1 year Credentialing experience preferred
  • Ability to read, write and speak intelligible English
  • Requires emotional stability and resilience; Exhibits organizational and leadership ability; Able to understand and relate to specific ideas generally, several at a time, and remember multiple tasks given to self and others over long periods of time.

Physical Demands/Work Environment

  • Work requires light duty lifting.
  • Must be able to remain in a stationary position 50% of the time.
  • Constantly operates a computer and other office machinery such as calculator, copy machine, and computer printer.
  • Must be able to exchange accurate information with patient, family, peers and medical personnel.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

“Experience Memorial” is more than a slogan, it’s the care we provide our patients and it’s the commitment to our community and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.

Working at Lake Charles Memorial Health System | Great Place To Work

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