Credentialing Specialist

Landmark Management Services of Florida, LLC • St. George, LA

5d • $22 - $27

About The Position

The Credentialing Specialist supports three small hospitals and is based in Baton Rouge. The role combines remote and on-site support and is estimated at approximately 24 hours per week, with some weeks requiring up to 30 hours. The specialist verifies healthcare professionals’ credentials to ensure they are current and meet regulatory standards, and helps ensure medical facilities and their services comply with government agency standards.

The position involves maintaining licensing, credentialing, and insurance records; researching regulations and policies; responding to information requests when required by law; supporting internal credentialing processes and training; tracking expiration and renewal dates; and monitoring compliance with regulatory and accrediting institutions. The role requires working independently and with a team, maintaining accuracy and timeliness, and communicating with physicians and their office staff.

Requirements

• High school diploma.
• At least 1 year of experience in physician credentialing.
• Knowledge of applicable regulations, laws, and policies.
• Ability to track and follow up on open items and meet deadlines.
• Strong organizational and computer skills, including MS Office.
• Ability to work independently and as part of a team, with an emphasis on accuracy and timeliness.
• Excellent communication and interpersonal skills.

Nice To Haves

• Three years of physician credentialing experience preferred.
• Certified Provider Credentialing Specialist (CPCS) preferred.

Responsibilities

• Create and maintain licensing, credentials, and insurance records.
• Research updated state and federal regulations and policies.
• Release information to requesting agencies and the public when required by law.
• Help develop internal credentialing processes and train new credentialing team members.
• Monitor license and credential expiration dates and advise staff members of required renewal dates.
• Ensure the facility and staff members maintain compliance with regulatory and accrediting institutions.
• Track open items, follow up, and meet deadlines.
• Communicate and build relationships with physicians being credentialed and their office staff.

What This Job Offers

• Job Type: Part-time
• Education Level: High school or GED