Credentialing Representative

FMOLHS • Baton Rouge, LA

5d

About The Position

The Credentialing Representative is an entry-level administrative role supporting the credentialing and privileging of healthcare providers across the organization. The position processes credentialing and recredentialing applications, reviews provider documentation, prepares verification letters, and maintains the credentialing database. The representative coordinates with medical staff offices, licensing agencies, and insurance carriers to facilitate timely application completion. 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, with attention to compliance and detail.

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 maintain spreadsheets to track credentialing processes and documentation.
• Serve as the first point of contact for insurance carriers, licensing agencies, and medical staff offices, and handle inquiries professionally.
• Collect and process provider documentation, manage files, and assist with communications between providers and payers.
• Perform basic 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