Overview:
Ensures healthcare providers meet all regulatory, payer, and facility requirements to practice and bill for services. Manages credentialing processes for physicians, nurses, and allied health professionals.

Core Responsibilities:

• Prepare, submit, and track credentialing applications to hospitals, payers, and regulatory bodies.
• Maintain accurate provider records and credentials in databases.
• Monitor expirations for licenses, certifications, and re-credentialing requirements.
• Communicate with providers, payers, and governing agencies to resolve credentialing issues.
• Ensure compliance with accreditation standards and state/federal regulations.
• Support audits and provide documentation as needed.