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, concerns, and suggestions to management