Credentialing Specialist will work with the credentialing team in the United States to help physicians, medical practices, and healthcare organizations with credentialing and enrollment. The roles and responsibilities include:
- Track and follow up with providers for timely return of all required credentialing documents and applications
- Assist in synchronization of data among multiple systems
- Maintain credentialing database and ensure up-to-date tracking of application process
- Document progress in project management software, and provide regular updates to management
- Work with commercial and governmental payers for credentialing and enrolment of multiple provider specialties and facility types
- Stay up to date on licensing, verification, and state specific rules and bylaws to maintain compliance
- Display in depth knowledge of and execution of all standard operating procedures (SOP’s) as well as communicating issues, trends, conc...