Job Description:
· Credentialing: Responsible for all aspects of provider credentialing and re-credentialing.
· License Renewals: Ensures that physician licenses are renewed prior to expiration.
· Primary Source Verification: Completes primary source verification for new and existing providers to ensure due diligence.
· Records Management: Maintains assigned physician files, updating each item/action as processed.
· Utilizes database status/alert and other report functions, software tools and links to scanned documentation.
· Ensures that information is current and accurate.
· Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent processes.
· Back-up Coverage: provide credentialing back-up for other members of the credentialing group.
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