- Process completed provider files and input provider approval dates.
- Manage provider Fountain credentialing processes.
- Coordinate with the Credentialing Verification Organization to complete, download, and upload files and update systems with decisions.
- Contact providers to obtain missing information, including NPI numbers and CAQH profile information.
- Maintain accurate storage records for provider files.
- Ensure timely re-credentialing of the credentialed provider network.
- Coordinate re-credentialing reviews for each clinician with the Credentialing Verification Organization.
- Review credentialed licenses for accuracy.
- Conduct quarterly internal audits of the Credentialing Program.