Job Description
Description Summary: The Credentialing Specialist works at the direction of the Director of Medical Staff Services. This position performs credentialing and recredentialing for the purpose of Medical and Advance Practice Clinician membership and privileging in accordance with the Medical Staff Bylaws, Rules & Regulations, Policy and Procedure, and in alignment with appropriate regulatory agencies
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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