Job Description Summary:

The Credentialing team focuses in determining if the submitted application is within legal and regulatory compliance based on the approved interpretations from our monthly updated Credentialing Manual.




Description (External/ Internal):




+ Log, maintain and track all credentialing application for the business unit.

+ Access appropriate tracking tool to log applications and maintain application status based on daily activity

+ Analyze organizational credentials, including; initial review of application to verify all required sections are completed and ensure appropriate documents for requested access have been attached and are accurate/current. (ie: business licenses, articles of incorporation, vendor reference, etc)

+ Conduct credentialing of applications and/or change requests following established credentialing procedures.

+ Conduct verification calls to the custo...