As Credentialing Specialists responsible for verifying the professional licenses and certifications of Providers/Facility.
Completed credentialing and re-credentialing applications of Medicare, Medicaid Commercial Insurance and health care providers through CAQH and paper submission.
Coordinated all aspects of the credentialing and primary source verification process for practitioners, health care providers and health delivery organizations.
Coordinate and garner all materials and documentation for behavioral care professionals in becoming accredited members of health care insurance association.
Processed credentialing and re-credentialing applications for health care providers by primary source and verification of all credentials.
Communicate with providers, departments, and all related health care agencies daily on credentialing and privileging issues as they arise.
We Maintained credentialing database CAQH while tracking all
direct provider contract data.
We Maintained all medical licenses, Drug Administration, and
malpractice insurance for physicians and mid-level providers.
Ensured compliance with national standards of quality.
organizations.
Exceeded production goals by 99% while maintaining quality.