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Credentialing Coordinator I
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- Our provider network is comprised of more than 3,500 providers including Primary Care, Specialty, Hospital System and ancillary provider partnerships.
- The Credentialing Coordinator I is responsible for processing initial credentialing and recredentialing applications for practitioners in accordance with the contracted health plans, regulatory bodies, and NCQA standards.
- The Credentialing Coordinator I, works closely with all Credentialing Staff and management to maintain adherence to the turnaround time requirements to meet regulatory and internal targets
- Review and document EzCap load notifications from the Provider Database Specialist for new contracted practitioners.
- Process practitioner applications within Morrissey database (MSOW) in accordance with the contracted health plan, regulatory bodies, and NCQA standards.
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