Process credentialing and re-credentialing applications of health care providers.
- Review applications, prepare verification letters and maintain database.
- Contact medical office staff, licensing agencies, and insurance carriers to complete credentialing and re-credentialing applications.
- Complete administrative duties, such as ensuring state medical licenses are up-to-date and checking the status of new license applications.
- Ensures compliance with accreditation standards and legal requirements related to the Medical staff.
- Submit provider applications to health insurance plans and manage the enrollment process.
- Other Job Duties assigned