Credentialing

  • $5.00 - $15.00/hour
  • Employment Status: Independent Contractor
    Compensation: $5 - $15 depending on experience and example performance in 3 months
    Time Tracking Platform: Harvest integrated with Asana

    Job Overview

    • Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all clients.
    • Responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities. 
    • Maintain up-to-date data for each provider in credentialing databases and online systems.
    • Ensure the timely renewal of licenses and certifications. 


    ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO: 
    1. Compiles and maintains current and accurate data for all providers. 
    2. Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed. 
    3. Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers. 
    4. Maintains corporate provider contract files. 
    5. Maintains knowledge of current health plan and agency requirements for credentialing providers. 
    6. Sets up and maintains provider information in online credentialing databases and system. 
    7. Tracks license and certification expirations for all providers to ensure timely renewals. 
    8. Ensures practice addresses are current with health plans, agencies, and other entities. 
    9. Processes applications for appointment and reappointment of privileges for all active clients. 
    10. Tracks license, DEA and professional liability expirations for active clients. 
    11. Maintains appointment files digitally, and information in the credentialing database. 
    12. Audits health plan directories for current and accurate provider information. 

    ADDITIONAL RESPONSIBILITIES: 

    1. Maintains confidentiality of provider information. 
    2. Provides credentialing and privileging verifications. 
    3. Performs other duties as assigned. 

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