With our continued growth, The Carpenter Health Network is ready to add a Credentialing Specialist to our team in Baton Rouge, Louisiana!

The Credentialing Specialist will be responsible for coordinating, monitoring and maintaining the credentialing and re-credentialing process of ancillary providers. Maintain up-to-date data for each provider and ensure timely renewal of licenses and certifications.

We offer: An excellent compensation package including competitive salary, health, dental, vision, short-term, long-term and life insurance, generous PTO, 401k and a real opportunity to grow!

Responsibilities:

• Create and maintain CAQH accounts
• Compiles and maintains current and accurate data for all providers
• Works with TCHN in house legal department on licensure and follow up for providers,
• Works with TCHN in house legal department on Medicare provider enrollment and re-validation services,
• Tracks license and certification expirations of all TCHN providers to ensure timely renewals
• Completes provider credentialing and re-credentialing applications; monitors applications and follow-up as needed
• Maintains copies of current state licenses (CDS, DEA, CLIA, etc.), malpractice coverage and any other required credentialing documents for all providers
• Maintains corporate provider contract files
• Maintains knowledge of current health plan requirements for credentialing providers
• Sets up and maintains provider information in TCHN system
• Periodically audits health plan directories for current and accurate provider information

Qualifications:

• High school diploma or equivalent
• Knowledge of government/ Medicare/ Regulatory Agency requirements relating to credentialing
• Minimum six years’ experience in healthcare with four years directly related to hospital medical staff or managed care credentialing
• Knowledge of medical practices, terminology and credentialing requirements
• Certified Provider Credentialing Specialist (CPCS) preferred
• Planning and project organization/administration skills
• Skill in exercising initiative, solving problems, executing timelines, and making decisions
• Ability to communicate professionally and appropriately with clients, managers, and co-workers
• Basic computer skills: MS Word, MS Excel, and MS Outlook

Exceptional People providing Exceptional Care.

All inquiries will be kept confidential. EOE