Job Description
Duties/Responsibilities
+ Perform primary source verifications and query necessary databases including but not limited to the following: CAQH, NPDB, NSCH, ABMS, AOA, AMA, etc.
+ Perform credentialing and recredentialing of non-delegated providers and vendors, facilities and groups in accordance with established credentialing policies and procedures and NYS and CMS credentialing regulations.
+ Work collaboratively with Vendor Management Specialist and designated Credentialing Verifications Organization (CVO) and audit monthly files.
+ Prepare, review, update and/or audit committee summaries and present them to the Credentialing Committee as applicable.
+ Participate in internal and external meetings to respond to inquiries and define credentialing requirements for stakeholders.
+ Troubleshoot issues and outreach to necessary internal and external contacts as required to obtain credentialing and recredentialing documents.
+ Actively participate with and support...
+ Perform primary source verifications and query necessary databases including but not limited to the following: CAQH, NPDB, NSCH, ABMS, AOA, AMA, etc.
+ Perform credentialing and recredentialing of non-delegated providers and vendors, facilities and groups in accordance with established credentialing policies and procedures and NYS and CMS credentialing regulations.
+ Work collaboratively with Vendor Management Specialist and designated Credentialing Verifications Organization (CVO) and audit monthly files.
+ Prepare, review, update and/or audit committee summaries and present them to the Credentialing Committee as applicable.
+ Participate in internal and external meetings to respond to inquiries and define credentialing requirements for stakeholders.
+ Troubleshoot issues and outreach to necessary internal and external contacts as required to obtain credentialing and recredentialing documents.
+ Actively participate with and support...
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