Credentialing Manager
19 days ago
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OnsiteFull-timeEntry
Summary
Moreau Physical Therapy is seeking a full-time Credentialing Manager to lead and manage credentialing processes in their healthcare team at their Baton Rouge, LA location.
About the Role
The Credentialing Manager is responsible for reviewing and verifying credentials, licenses, and certifications of healthcare staff to ensure compliance with industry regulations. The role includes conducting background checks, managing re-credentialing processes, maintaining and updating the credentialing database, analyzing trends to improve procedures, training and mentoring new staff, and acting as a liaison for new contracts including setting up Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERAs). The manager also maintains spreadsheets to track credentialing progress for providers and facilities, updates master paperwork as payer forms change, files approvals in the EMR, and keeps payer contacts updated for all providers and clinics.
About You
Required:
- Strong attention to detail to verify licensure is current and in good standing.
- Experience gathering comprehensive information from clinicians for credentialing.
- Knowledge of credentialing new providers including obtaining National Provider Identifiers (NPIs).
- Ability to manage recredentialing tasks and follow up on pending approvals.
- Proficiency in maintaining spreadsheets to monitor credentialing progress for providers and facilities.
- Effective communication and problem-solving skills to address issues with payers.
- Experience updating master paperwork as payer forms change.
- Ability to file approvals in Electronic Medical Records (EMR).
- Experience acting as liaison for new contracts and setting up EFT and ERAs.
- Skill in keeping payer contacts updated for all providers and clinics.
The mission of Moreau Physical Therapy is to serve our patients with the utmost professionalism in a friendly and caring environment. Our goal is to assist those in need to reach their highest possible level of function.
Moreau Physical Therapy provides: Physical Therapy, Occupational Therapy, Certified Hand Therapy, Speech Therapy, Pediatric Therapy, Aquatic Therapy, Chiropractic Services and Industrial Medicine.
Baton Rouge, LA