Determined, innovative, responsible and highly motivated individual, seeking a career in a challenging and dynamic environment to implement the knowledge gained from academic into the operational work of the company.
Hire, train, coach, counsel and evaluate performance of employees when needed.
Train and guide team members on new challenges in healthcare industry along with a keeping a close coordination with providers (clients).
Maintain all credentialing policies and processes to ensure that they are in compliance with applicable regulations.
Leads, coordinates and monitors the review and analysis of practitioner applications, ensuring applicant eligibility.
Conducts thorough background investigation, research all components of the application file.
Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up. This includes updating CAQH profile database and completing Medicare/Medicaid revalidation.
Responds to inquiries from other healthcare organization.
Updates credentialing action log for all the credentialing activities.
Performs miscellaneous job-related duties as assigned.
Leads, coordinates and monitors the review and analysis of practitioner applications, ensuring applicant eligibility.
Conducts thorough background investigation, research all components of the application file.
Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up. This includes updating CAQH profile database and completing Medicare/Medicaid revalidation.
Responds to inquiries from other healthcare organization.
Updates credentialing action log for all the credentialing activities.
Performs miscellaneous job-related duties as assigned.