Job Description
Duties/Responsibilities Perform primary source verifications and query necessary databases including but not limited to the following: CAQH, NPDB, NSCH, ABMS, AOA, AMA, etc. Perform credentialing and recredentialing of non-delegated providers and vendors, facilities and groups in accordance with established credentialing policies and procedures and NYS and CMS credentialing regulations. Work co
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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