Job Description
About the role You will be responsible for all aspects of the credentialing and contracting. Responsible for ensuring providers are credentialed, appointed, and enrolled with health plans and managed care plans. Maintain up-to-date data for each provider in credentialing databases; ensure timely renewal of licenses and certifications. And all other credentialing and contracts duties as assigned. W
8:00 AM
Review the credentialing action queue. New providers starting next month, re-credentialing deadlines, applications waiting on paye…
8:30 AM
Work a new physician onboarding packet. Complete the CAQH ProView profile — this is the universal credentialing database most comm…
10:00 AM
Submit initial payer enrollment applications for a new hospitalist joining the group. Each payer has its own application: Medicare…
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