Job Details

To gather and validate healthcare practitioner credentialing information in accordance with regulatory and accreditation standards. Interacts with practitioners by phone to ensure timely receipt of information. Responds to inquiries via telephone and email. Responsibilities Performs credentialing and re-credentialing activities according to policies and procedures. Sends forms and related documentation and tracks and follows-up to ensure timely return of information. Gathers information and researches discrepancies. Scrutinizes documents for consistency and accuracy. Monitors healthcare practitioners licensing boards and federal and state reporting sites. Reviews comprehensive written documents and writes concise, accurate summaries. Prepares and maintains files ensuring all documentation meets standards to demonstrate policies and procedures are followed and decisions are documented. Educates providers on the completion of forms and required submissions. Prepares a variety of reports ...Credentialing, Specialist, Healthcare, Business Services, Skills