Medical Staff Credentialing Specialist, Sr. jobs in New Orleans, LA

Medical Staff Credentialing Specialist, Sr. processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist, Sr. loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist, Sr. handles and resolves inquiries regarding credentialing information, process, or status. May provide guidance or expertise to less experienced specialists. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Medical Staff Credentialing Specialist, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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Credentialing and Enrollment Specialist
  • Tulane University
  • Orleans, LA FULL_TIME
  • Responsible for all activities related to enrollment/credentialing and re-enrollment/ re-credentialing of all physicians in contracted Managed Care and Governmental Health Insurance Plans. Provide Management with the necessary data required in the negotiation of new contracts. Works with Business Services Staff in the resolution of provider enrollment/credentialing issues. Works in a highly complex environment with a multiple level of staff, management, and physicians. Work with large volumes of data. Meets initial deadlines and follow up deadlines consistently. Interfaces with TUHC and credentialing vendors for delegated credentialing.


    Required Knowledge, Skills, and Abilities • Excellent oral and written communication skills.
    • Ability to work effectively with physicians and their staff member.
    • Detail oriented with above average organizational skills in planning and prioritizing to meet deadlines
    • Must be fluent in the use of Excel and Word and Internet use
    • Knowledge of provider credentialing and its direct impact on the group's revenue cycle

    REQUIRED BACKGROUND CHECK, PHYSICAL, AND DRUG SCREENING FOR INCUMBENTS WHO HAVE CONTACT OR EXPOSURE TO ANIMALS OR ANIMAL TISSUES :
    Selected candidates must complete and pass a background check and an occupational health screening as a condition of employment. For identified jobs, a drug screening will also be required. The background investigation, required occupational health screening, and any required drug screening will be conducted after a conditional employment offer has been extended.


    Required Education and/or Experience • High School Diploma
    • 5 years Credentialing and Enrollment work experience


    Preferred Qualifications • Familiarity with Managed Care Health Insurance Plans, especially credentialing procedures.
    • Experience with government payers, especially Provider Enrollment guidelines.
    • Excellent knowledge of required documentation for provider credentialing to Hospital Services
    • Corporations and other outside credentialing agencies
    • Ability to complete and maintain staff rosters with new enrollment and terminated providers for over 500 providers
  • 12 Days Ago

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Medical Staff
  • STAT Home Health
  • Angie, LA FULL_TIME
  • Join STAT Home Health and become part of a team that provides excellent patient care, respects one another, and has a supportive back-office team that ensures you have everything you need to be succes...
  • 27 Days Ago

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Surgical Retina Specialist
  • MASC Medical
  • Orleans, LA FULL_TIME
  • Surgical or Medical Retina Specialist(Ophthalmologist)Please do not apply unless you're an eye doctor. No other resumes will be considered. ​New Orleans, Louisiana We are seeking a highly skilled and ...
  • 7 Days Ago

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Surgical Retina Specialist
  • MASC Medical
  • Orleans, LA FULL_TIME
  • Surgical or Medical Retina Specialist(Ophthalmologist)Please do not apply unless you're an eye doctor. No other resumes will be considered. ​New Orleans, Louisiana We are seeking a highly skilled and ...
  • 7 Days Ago

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Billing Specialist
  • QUIPT HOME MEDICAL INC
  • Metairie, LA FULL_TIME
  • DescriptionWe are rapidly growing leader in the provision of clinical respiratory equipment, DME and service that is seeking outstanding individuals to join our team of professionals. Due to our succe...
  • 21 Days Ago

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13 Week Travel Contract Registered Nurse, Staff, Hospice
  • Core Medical Group
  • Metairie, LA FULL_TIME
  • Client in Louisiana seeking Hospice RN. CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses. Plus, we'r...
  • Just Posted

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0 Medical Staff Credentialing Specialist, Sr. jobs found in New Orleans, LA area

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • New Orleans, LA
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/26/2024 12:00:00 AM

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Internal Revenue Agent (Reviewer - Examiner) Temp NTE 1 Yr., MBE, MBMP 12 MONTH ROSTER (Amended)
  • Department Of The Treasury
  • New Orleans, LA
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/26/2024 12:00:00 AM

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Supervisory Tax Specialist (TCO Group Manager), NTE 1 YR (12 MONTH ROSTER) (Amended)
  • Department Of The Treasury
  • New Orleans, LA
  • Duties WHAT IS THE TAX EXEMPT/GOVERNMENT ENTITIES (TEGE) DIVISION? A description of the business units can be found at: ...
  • 4/26/2024 12:00:00 AM

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Supervisory Internal Revenue Agent (12 month roster) AMENDED
  • Department Of The Treasury
  • New Orleans, LA
  • Duties WHAT IS THE LBI - LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at:...
  • 4/26/2024 12:00:00 AM

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Human Resources Specialist
  • State of Louisiana
  • New Orleans, LA
  • Supplemental Information Job Number: MHSD-193522-JS Metropolitan Human Services District 3100 General DeGaulle Dr. New O...
  • 4/26/2024 12:00:00 AM

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Finance Operations Manager (class Code 0253)
  • City of New Orleans, LA
  • New Orleans, LA
  • Kind of Work Highly responsible professional, supervisory and technical work in developing and implementing administrati...
  • 4/26/2024 12:00:00 AM

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Legal Admin Specialist (Estate & Gift Tax) (Estate Tax Technical Advisor) (TEMP NTE 1 YR MBE, MBP)
  • Department Of The Treasury
  • New Orleans, LA
  • Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED (SBSE)DIVISION? A description of the business units can be found at: htt...
  • 4/26/2024 12:00:00 AM

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Supervisory Legal Admin Specialist (Estate & Gift Tax) 12 month register Direct Hire Amended
  • Department Of The Treasury
  • New Orleans, LA
  • Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED (SBSE)DIVISION? A description of the business units can be found at: htt...
  • 4/26/2024 12:00:00 AM

New Orleans (/ɔːrˈliːnz, ˈɔːrl(i)ənz/, locally /ˈɔːrlənz/; French: La Nouvelle-Orléans [la nuvɛlɔʁleɑ̃] (listen)) is a consolidated city-parish located along the Mississippi River in the southeastern region of the U.S. state of Louisiana. With an estimated population of 393,292 in 2017, it is the most populous city in Louisiana. A major port, New Orleans is considered an economic and commercial hub for the broader Gulf Coast region of the United States. New Orleans is world-renowned for its distinct music, Creole cuisine, unique dialect, and its annual celebrations and festivals, most notably ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$49,691 to $61,982
New Orleans, Louisiana area prices
were up 1.2% from a year ago