Role : Credentialing Specialist Job Description
Department : HR
Direct Report : Director of HR
Summary: Responsible for all aspects of the credentialing, re credentialing, and privileging processes for all medical providers who provide patient care as clients of Exceed Healthcare. Responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.
Job Duties:
As a Credentialing Specialist for Exceed Healthcare LLC, Your job duties include, but are not limited to, the following:
Hospital/Provider Credentialing
Payer Credentialing
Additional Responsibilities:
1. Maintain confidentiality of provider information
2. Provides credentialing and privileging verifications
3. Performs other duties and special projects as assigned.
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