Responsibilities:

• Collect all the data and documents required for filing credentialing applications from the physicians.
• Maintain current and accurate data for all providers.
• Complete provider credentialing and credentialing 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 corporate provider contract files.
• Maintains knowledge of current health plan and agency requirements for credentialing providers.
• Sets up and maintains provider information in online credentialing databases and system.
• Tracks license and certification expirations for all providers 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 The Doctors Clinic (ASC)
• Tracks license, DEA and professional liability expirations for appointed ASC providers.
• Maintains ASC appointment files, and information in the credentialing database.
• Store the documents centrally on our secure document management systems
• Obtain the enrolment number from the payer and communicate the state of the application to the physician
• Periodic update of the document library for credentialing purpose