Job Description
The Credentialing Specialist is responsible for verifying and maintaining the qualifications, licenses, and certifications of healthcare providers, ensuring they meet all necessary regulatory, payer, and organizational standards. This includes reviewing and authenticating primary source documents such as medical licenses, board certifications, malpractice insurance, and state registrations, while
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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