Credentialing Specialists
Comprehensive Rehab Consultants
Dec 2024 - Feb 2026 (1 year 3 months)
• Maintain accurate and up-to-date provider records in credentialing databases and tracking systems.
• Verify and validate healthcare providers' credentials, including education, training, licensure, board certifications, work experience, and malpractice history.
• Submit applications to Commercial and Government payers. And follow up on approvals to ensure providers can bill for services.
• Manage the recredentialing process and ensure that all credentials are renewed timely to prevent disruptions in healthcare services.
• Utilize PECOS, NPPES, CAQH, Availity, and OnboardPro platforms to manage provider enrollment, credentialing, recredentialing, and ensure data accuracy.