Job Description
Job Description Job Description Position Summary: The Credentialing Specialist is responsible for the timely and compliant initial credentialing process for allied providers and physicians according to state and federal requirements, NCQA accreditation standards, Medicare and Medicaid guidelines, and Community Care Plan (CCP) Credentialing policies and procedures. Essential Duties and Responsibili
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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