Outsourced Credentialing Specialists can assist with the overall credentialing and contracting process.
They verify all required and pertinent credentialing information and re-credentialing documentation and assist with group and provider data entry into credentialing software.
Credentialing Specialists complete and submit applications for providers to be credentialed and contracted with payors. They contact payors via phone and/or email to follow-up on applications to ensure timely completion of claims.
Also, they maintain and monitor all licenses and certifications in the database to ensure compliance within all market.
