- Maintain individual provider files for credentialing applications
- Credential new providers and re-credential current providers
- Facilitate completion of payer practitioner linking applications
- Manage contracts, licenses, and credentials for all providers
- Communicate with payers regarding fee schedules and updates
- Develop and monitor processes for quality contracting and credentialing
- Ensure compliance with health plans and State/Federal regulations
- Track enrollment status with agencies and third-party payers
- Maintain provider profiles in CAQH, PECOS, and CMS databases
- Maintain databases including Verity and Availity
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