1.Guide Provider through credentialing and re-credentialing process and ensure the completion of required documentation .Works with Provider to prepare and submit Medicare & Medicaid applications to enrollment office.

2. Prepare all credentialing applications, develop, and provide documentation that are not supplied by the Provider, address any additional information or corrections requested.

3. Verify and track the proper credentialing and re-credentialing of physicians, professionals, and paraprofessional individuals.

4. Receive credentialing application and enter data into credentialing system.

5. Work with Provider to maintain and ensure compliance for all licensures and appointments with state and governmental agencies and certifications for each Provider, generate monthly report of expiring credentials.

6. Ensure ongoing monitoring of performance between credentialing cycles, generate performance review documentation, share with department for completion, and notify external entities when a Provider has been suspended, if necessary.

7. Work with Departments to obtain proof of Professional Liability coverage.

8. May provide support and information needed for monthly credentialing committee meetings, provide report to the committee of initial and reappointments.

9. Notify Providers and departments of credentialing status and final result, email notice to department and provider, ensure credentialing system (currently MD Staff) is updated with final credentialing result.

10. Ensure website accurately reflects Provider’s credentials once cleared.

11. Track and ensure the completion of required continuing medical education courses/workshops; provide documentation to outside entities according to requirements.

12. Conduct customer service tasks such as responding to Provider, applicants, administrators, and hospital inquiries, provide documents to physicians/office staff seeking copies.

13. Perform all other duties as assigned.

MINIMUM Education:

Associate's degree is required. Will accept experience in lieu of education.