Credentialing Coordinator
Maintain provider files for over 1300 providers. Complete re-credentialing process. Point of Contact for outsource company for credentialing/re-credentialing. Plan seminars for providers. Make travel and hotel arrangements for speakers and guest speakers. Review files and present for Audits. Communicate with Recruiting Department and PPO Department for providers with actions, approvals for providers that will be able to work for the company or who have been denied. Prepare quarterly reports for Q.M. Director to report. Credentialing Minutes, Primary Source Verifications