Credentialing Specialist

• Support initiatives across the credentialing team
• Assist with provider enrollments
• Maintain CAQH profiles
• Obtain and review physicians’ medical licenses
• Help with hospital privileging
• Complete and process credentialing applications
• Collect provider credentials and update internal and external databases
• Review and streamline onboarding processes and workflows, using automation where appropriate
• Interact with management, physician office staff, and physicians to accomplish credentialing activities
• Maintain up-to-date provider data in credentialing databases and online systems
• Maintain accurate provider rosters for insurance companies
• Track CAQH completion and re-attestation dates
• Track expirables such as medical licenses, DEA, and CDS
• Notify administration, billing, and operations of provider effective dates
• Maintain confidentiality of provider information
• Complete initial hospital and reappointment applications