The Credentialing Specialist manages the full lifecycle of provider credentialing, including primary source verification and background screening. They ensure compliance with regulatory standards and maintain accurate provider records within the database.
The Credentialing Coordinator manages the re-credentialing process for physicians and allied providers to ensure compliance with state, federal, and accreditation standards. They also maintain provider data records, conduct primary source verifications, and resolve discrepancies to ensure accurate network enrollment.
