Job Description
Essential Functions: Enforce regulatory compliance and quality assurance. Prepare and maintain reports of credentialing activities such as accreditation, membership or facility privileges. Ensure that all information meets legal, federal and state guidelines when processing applications. Responsible for carrying out various credentialing processes in relation to physicians and allied health practi
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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