Credentialing Specialist
Current1) Assist in obtaining physician privileges within the selected hospitals. 2) Assist in obtaining physician contract within the selected health plans. 3) Review all applications to ensure materials are fully complete before submission. 4) Organize and maintain applications to ensure that they may be readily accessible. 5) Persistently check the status of physician applications, with hospital staff, after submission. 6) Resubmit hospital applications and re-credentialing applications for health plans. 7) Complete CAQH application online. 8) Complete PHO contracts. 9) Coordinate new physician/hospital credentialing meetings. 10) Speak as a contact between physicians and MIDC staff to ensure awareness of physician employment dates and hospital privileges. 11) Coordinates and maintains new physician set up including lab coat, pagers, etc. 12) Helps to monitor the credentialing process. 13) Coordinates with marketing department new DMPOS applications and coordination of insurance carrier coverage with major health plans.