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Credentialing And Privileging Coordinator
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Full-time
- Compile and analyze any available internal data and information for an assessment of qualifications and competencies for each re-credentialing application.
- Coordinate with the Medical Director, Peer Review, Operations and/or Risk Manager to review and evaluate an applicants claims history and NPDB or other reports regarding final settlements.
- Ensure all tasks duties comply with all regulatory and accreditation standards including The Joint Commission, the National Committee Quality Assurance (NCQA) guidelines, and CommUnityCare Standard Operating Procedures and CommUnityCare Policies and Procedures.
- Accurately enters providers demographics and information into the credentialing Access database
- Monitors expiration of credentials and privileges as directed and is responsible for frequent outreach to providers, and staff across all disciplines, including calls, and with reminder emails to the using the access database 90, 60, 30 and daily markers.
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