Captured required credentials and enters them into the credentialing database and responsible for the accurate filing of all data related to physician credentialing and quality assurance files and appropriate spreadsheet tracking forms up to date. Confirms that credentialing requirements are met by identifies and communicates re-credentialing needs in a timely fashion to maintain credentialing compliance. I have provides guidance in completing credentialing requirements. Adhere to HIPAA privacy regulations. Assist Accounts Payable / AP processes all requests with reference to physician credentialing information. Accesses appropriate databases to obtain required credentialing information.

I maintain high quality, timely and accurate credentialing processes of medical healthcare professionals per company's policy and procedure. As a credential specialist I acted as liaison between MSO and physicians as point person for completing and ensuring compliance and delivery of required information to clients in a timely manner. Process and maintain credentialing and re-credentialing in accordance with CPC policy and procedure, Joint Commission standards, State and Federal Regulatory regulations. This will include but not limited to the following verifications: National Practitioner Data Bank OIG/GSA from Medicare/Medicaid exemption DEA Verification Licensure Board Certification Training verified. Ensure that all credentials files are current and complete pursuant to expiration date of medical licenses, board certification, professional-liability insurance coverage, DEA and other pertinent information. Monitored collection of all information received; followed up on missing and/or incomplete items. Submitted follow up requests for verifications as needed. Maintain credentials files ensuring that all correspondence where processed accurately. I gained a great knowledge on the credentialing process and the legal/regulatory requirements.