Job Description
Overview Ensure Compliance. Maintain Accuracy. Support Healthcare Excellence. As a Credentialing Specialist, You Will: Oversee and manage all aspects of Contracted Physician credentialing and licensure requirements (license expirations, sanctions, exclusions, etc.) to ensure compliance. Develop and manage transactional processes and record-keeping to maintain accurate employee and/or contracted physician credential files. Serve as a liaison within the Company between credentialing and other …
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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