Adaptable, Hard working, Team Player, Eager to learn Open Source based system, Accept Challenges and Sales Pressure
1. Compiles and maintains current and accurate data for all providers.
2. Completes provider credentialing and re-credentialing applications; monitors applications
and follows-up as needed.
3. Maintains copies of current state licenses, DEA certificates, malpractice coverage and
any other required credentialing documents for all providers.
4. Maintains corporate provider contract files.
5. Maintains knowledge of current health plan and agency requirements for credentialing
providers.
6. Sets up and maintains provider information in online credentialing databases and system.
7. Tracks license and certification expiration for all providers to ensure timely renewals.
8. Ensures practice addresses are current with health plans, agencies and other entities.
9. Processes applications for appointment and reappointment of privileges to The Doctors
Clinic (ASC).
10. Tracks license, DEA and professional liability expiration's for appointed ASC providers.
11. Maintains ASC appointment files, and information in credentialing database.
12. Audits health plan directories for current and accurate provider information.
13. Maintains confidentiality of provider information.
14. Provides credentialing and privileging verification.
15. Performs other duties as assigned
Physical Requirements:
Hearing: Adequate to perform job duties in person and over the telephone.
Speaking: Must be able to communicate clearly to patients in person and over the
telephone.
Vision: Visual acuity adequate to perform job duties, including reading information from
printed sources and computer screens.
Other: Requires occasional lifting and carrying items weighing up to 20 pounds
unassisted. Requires frequent bending, reaching, and repetitive hand movements,
standing, walking, squatting and sitting, with some lifting, pushing and pulling exerted
regularly throughout a regular work shift.