Job Description
Job Description Job Description Essential Duties and Responsibilities Manage the credentialing and recredentialing process for physicians, nurse practitioners, physician assistants, nurses, behavioral health professionals, and other healthcare providers. Prepare, submit, and track initial credentialing and recredentialing applications with commercial insurance companies, Medicare, Medicaid, and other government or third-party payers. Verify provider credentials, including licenses, certificatio…
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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