Credentialing Specialist

• Maintain current and accurate data for all providers.
• Complete provider/payor enrollment applications, monitor applications and follow up as needed.
• Maintain copies of current state licenses, malpractice coverage and other required provider documents.
• Maintain provider information in online databases such as NPI and CAQH.
• Collect information from providers and coordinate with the CVO to submit credentialing requests.
• Track license and certification expirations to ensure timely renewals.
• Audit and ensure practice address information with health plans is listed correctly.
• Maintain confidentiality of provider information.
• Perform other duties as assigned.