Credentialing Specialist

ESSENTIAL DUTIES AND RESPONSIBILITIES
Compiles and maintains current and accurate data for all providers.
Completes provider credentialing and recredentialing applications; monitors applications and follows-up as needed.
Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
Maintains knowledge of current health plan and agency requirements for credentialing providers.
Sets up and maintains provider information in credentialing database.
Tracks license and certification expirations for all providers and clinical personnel to ensure timely renewals.
Ensures practice addresses are current with health plans, agencies and other entities.
Processes applications for appointment and reappointment of privileges to ASC.
Tracks license, DEA and professional liability expirations for appointed ASC providers and clinical personnel.
Maintains ASC appointment files, and information in credentialing database.
Audits health plan directories for current and accurate provider information.

Medix is acting as an Employment Agency in relation to this vacancy.