Primary Duties May Include, But Are Not Limited To:

Ability to handle sensitive data and maintain confidentiality of provider information.
Knowledge of related accreditation, certification requirements, regulations, bylaws and medical insurance carrier procedures from State and Federal rules and regulations.
Perform primary source verifications for liability insurance, licensure (State/CDS/DEA), education, training, board certification, sanctions and NPDB.
Update the credentialing database system to reflect approvals, denials, and/or terminations and ensure all files have a welcome, denial, or term letter as appropriate.
Perform telephone, fax and/or written communication with providers.
Perform related duties as assigned by supervisor.
Maintain compliance with all company policies and procedures.
Filling different documents as forms, applications, etc., as requested.