Credentialing Specialist at American Red Cross, New Orleans, Louisiana

Job Description

Company Overview:
American Red Cross is a leading nonprofit organization dedicated to providing disaster relief, support to military families, lifesaving blood services, health and safety training, and international services. With a rich history dating back over a century, the American Red Cross is committed to preventing and alleviating human suffering in the face of emergencies.

Key Responsibilities For Credentialing Specialist:
- Manage the credentialing process for healthcare providers, ensuring compliance with regulatory requirements and organizational standards.
- Verify and maintain accurate provider credentials, licenses, certifications, and other relevant documentation.
- Coordinate with various departments to gather necessary information for credentialing purposes.
- Conduct primary source verification of education, training, work experience, and professional references.
- Monitor expiration dates of credentials and initiate the renewal process in a timely manner.
- Collaborate with internal and external stakeholders to resolve credentialing issues and inquiries.
- Maintain detailed and organized credentialing records in accordance with policies and procedures.
- Stay current on industry regulations and best practices related to credentialing processes.

Required Qualifications:
- Bachelor's degree in Healthcare Administration, Business Administration, or related field.
- 2+ years of experience in credentialing within a healthcare setting.
- Proficiency in credentialing software systems and Microsoft Office Suite.
- Strong attention to detail and accuracy in data entry and record-keeping.
- Excellent organizational, communication, and problem-solving skills.
- Knowledge of credentialing standards and regulations such as NCQA, Joint Commission, and CMS.

Desired Skills:
- Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) designation.
- Experience with Electronic Medical Records (EMR) systems.
- Familiarity with healthcare provider enrollment processes.
- Ability to work effectively in a fast-paced, team-oriented environment.
- Demonstrated ability to prioritize tasks and manage multiple deadlines concurrently.

Compensation & Benefits:
The annual salary range for the Credentialing Specialist position at American Red Cross in New Orleans, Louisiana is $45,000 to $60,000, commensurate with experience and qualifications. In addition to competitive pay, employees are eligible for a comprehensive benefits package that includes health insurance, retirement plans, paid time off, and professional development opportunities.

How to Apply:
To apply for the Credentialing Specialist position at American Red Cross in New Orleans, please visit our company website and submit your resume and cover letter through the online application portal. We thank all applicants for their interest in joining our mission-driven team.

Required Skills

  • Budget Management
  • Financial Reporting
  • Cost Control
  • Procurement

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