Credentialing Representative

FMOLHS • Baton Rouge, LA

7d

About The Position

The Credentialing Representative supports the credentialing and privileging of healthcare providers across the organization. This entry-level administrative role processes credentialing and recredentialing applications, reviews documentation, prepares verification letters, and maintains the credentialing database. The representative serves as a primary contact for medical staff offices, licensing agencies, and insurance carriers to help facilitate timely completion of applications. The work is performed under established guidelines and close supervision.

Requirements

• High school diploma or equivalent.
• Four years of experience in healthcare provider relations or healthcare credentialing.
• Strong customer service orientation and 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, and problem-solving skills.
• Expertise in data entry, verification, and monitoring performance metrics.
• Critical thinking skills, attention to detail, and a focus on compliance.

Responsibilities

• Complete and submit provider credentialing forms accurately and on time.
• Conduct background checks and verifications for healthcare providers.
• Update and maintain credentialing databases through accurate data entry and record-keeping.
• Create and manage spreadsheets to track credentialing processes and documentation.
• Serve as a first point of contact for insurance carriers, licensing agencies, and medical staff offices, handling inquiries professionally.
• Collect and process provider documentation, manage files, and assist with communications between providers and payers.
• Perform administrative tasks, including data entry and background screenings.
• Maintain knowledge of Medical Staff Policies and Procedures related to credentialing and privileging.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED