The Licensing and Credentialing Specialist verifies provider qualifications, licenses, and certifications to ensure compliance with regulatory and insurance standards. They maintain accurate provider records and streamline the credentialing process to minimize staffing gaps and support rural healthcare partners.
The Clinical Coordinator serves as the primary clinical contact for cancer care teams, providing mentorship to oncology nurses and coordinating patient care delivery. Responsibilities include managing clinical calls, processing chemotherapy orders, handling prior authorizations, and overseeing clinical integrations at new sites.
The Billing and Coding Specialist will review clinical documentation and assign accurate codes to medical encounters while ensuring compliance with coding guidelines. They will also perform coding audits and collaborate with clinicians to clarify discrepancies.
