Job Description
Credentialing Specialist Responsible for managing the complete enrollment and revalidation lifecycle for healthcare providers with federal and state programs, commercial payers, Managed Care Organizations (MCOs), and delegated credentialing entities. This role ensures timely and accurate submission of applications, prevents gaps in reimbursement, and maintains up-to-date provider data across all p
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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