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Provider Credentialing Jobs in Louisiana (NOW HIRING)

Overview The Credentialing Specialist plays a vital role in ensuring that healthcare providers meet the necessary qualifications and standards required for practice within our organization. This ...

Submit updated credentials to payors when credentials have expired to ensure no lapse in enrollment. * Serve as the primary contact for providers and payors when questions regarding enrollment/re ...

Coordinate a comprehensive provider credentialing program for Baptist Physician Enterprise providers and the Medical Staff Office * Support credentialing and recredentialing activities for providers

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

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Provider Credentialing information

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$11

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$33

How much do provider credentialing jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for provider credentialing in Louisiana is $20.83, according to ZipRecruiter salary data. Most workers in this role earn between $16.44 and $23.65 per hour, depending on experience, location, and employer.

What is provider credentialing?

Provider credentialing is the process by which healthcare organizations verify and assess the qualifications, experience, and professional background of medical providers, such as doctors, nurses, and specialists. This includes checking education, training, licenses, certifications, work history, and any malpractice or disciplinary actions. Credentialing ensures that providers meet the standards required to deliver care and are eligible for participation in health insurance networks. It is a critical step for patient safety and regulatory compliance. The process must be repeated periodically to maintain up-to-date records and ensure ongoing eligibility.

What are the key skills and qualifications needed to thrive in provider credentialing, and why are they important?

To thrive in Provider Credentialing, you need strong attention to detail, organizational skills, and knowledge of healthcare regulations, typically supported by a background in healthcare administration or related fields. Familiarity with credentialing software, databases, and compliance tools such as CAQH ProView and state licensure systems is essential. Exceptional communication, problem-solving, and time management skills help professionals interact with providers and manage complex documentation processes. These competencies ensure accurate provider verification, regulatory compliance, and efficient onboarding, which are critical for healthcare organizations.

What are some common challenges faced in a provider credentialing role, and how can they be managed?

A common challenge in Provider Credentialing is managing multiple deadlines and ensuring all documentation is accurate and up to date for various healthcare providers. The process often involves coordinating with providers, insurance companies, and regulatory bodies, which can lead to delays if communication is not clear. Staying organized, maintaining detailed records, and using credentialing management software can help streamline workflow and reduce errors. Building strong relationships with providers and team members also aids in resolving issues quickly and efficiently.

What is the difference between Provider Credentialing vs Medical Billing Specialist?

AspectProvider CredentialingMedical Billing Specialist
Required CredentialsLicenses, certifications, provider credentialsBilling certifications, coding knowledge
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, billing companies
Employer & Industry UsageHospitals, clinics, insurance providersMedical practices, billing firms
Search & Comparison IntentUnderstanding credentialing process, requirementsBilling procedures, coding, reimbursement

Provider Credentialing focuses on verifying healthcare providers' qualifications to ensure they meet industry standards, while Medical Billing Specialists handle coding, billing, and reimbursement processes. Both roles are essential in healthcare operations but serve different functions within the industry.

How to get into provider credentialing?

To enter provider credentialing, candidates typically need a background in healthcare administration, medical billing, or related fields, along with strong organizational and communication skills. Gaining certification such as the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects. Familiarity with healthcare regulations and credentialing software is also beneficial.

Is provider credentialing hard?

Provider credentialing can be a complex process that involves verifying a healthcare professional’s qualifications, licenses, and work history, often requiring attention to detail and organization. It typically involves working with multiple organizations and adhering to specific regulations, which can make the process time-consuming and challenging for some providers. Strong communication skills and familiarity with credentialing software can help streamline the process.

What does a provider credentialing specialist do?

A provider credentialing specialist is responsible for verifying healthcare providers' qualifications, licenses, and certifications to ensure they meet the standards required by insurance companies and healthcare organizations. They manage the credentialing process, maintain accurate provider records, and ensure compliance with regulatory requirements, often using specialized credentialing software. This role requires attention to detail, knowledge of healthcare regulations, and strong organizational skills.

What are the most commonly searched types of Provider Credentialing jobs in Louisiana?

The most popular types of Provider Credentialing jobs in Louisiana are:

Infographic showing various Provider Credentialing job openings in Louisiana as of August 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 75% Full Time, 17% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $43,325 per year, or $20.8 per hour.

Credentialing Specialist

LOUISIANA ORTHOPAEDIC SPECIALISTS LLC

Lafayette, LA • On-site

Full-time

Posted 2 days ago

New


Job description

Description:

We are seeking a detail-oriented Credentialing Specialist to join our healthcare team, focusing on orthopaedic provider credentialing. This remote position plays a crucial role in maintaining the highest standards of patient care and regulatory compliance by managing the credentialing process for our orthopaedic healthcare providers.


The Virtual Credentialing Specialist will ensure the accurate verification and maintenance of healthcare provider credentials through:

  •  Managing the comprehensive credentialing lifecycle for providers, including initial applications, reappointments, and ongoing monitoring of compliance requirements 
  •  Conducting thorough primary source verification of medical education, training, licensure, and board certifications 
  •  Maintaining detailed digital records and updating credentialing databases with precision and timeliness 
  •  Coordinating with insurance payers for provider enrollment and network participation 
  •  Proactively tracking and managing credential renewal deadlines to ensure continuous compliance 
  •  Investigating and resolving credentialing discrepancies through appropriate channels 
  •  Generating regular status reports and compliance updates for leadership review 


Requirements:

Required Qualifications

  •  Minimum of 2 years' experience in healthcare credentialing 
  •  Demonstrated proficiency in electronic credentialing management systems 
  •  Strong understanding of healthcare regulations and accreditation standards 
  •  Excellent organizational skills with exceptional attention to detail 

Preferred Qualifications

  •  NAMSS Certification (CPCS or CPMSM) 
  •  Experience with Louisiana State Board of Medical Examiners (LSBME), Louisiana Board of Nursing and Pharmacy
  •  Demonstrated proficiency with Louisiana Medicaid and MCO credentialing requirements
  •  Familiarity with the Council for Affordable Quality Healthcare (CAQH)
  •  Experience with Louisiana hospital privileging systems 
  •  Understanding of Louisiana Workers' Compensation Medical Treatment Guidelines for orthopaedic care 
  •  Familiarity with the Louisiana Uniform Credentialing Program