SR CREDENTIALING SPECIALIST
TRI STATE BILLING INCE
PITTSBURGH
06.2023 - Current
- Managed documentation for compliance with regulatory standards and policies.
- Coordinated communication between providers and internal teams for credentialing needs.
- Supported data entry into credentialing software for accurate record-keeping.
- Reviewed and verified qualifications of applicants against established requirements.
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
- Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
- Processed re-credentialing applications for existing providers according to contractual requirements.
- Prepared correspondence for various departments concerning credentialing updates or requests for additional information.
- Maintained informational resources, tracking and documenting requests for updates, certification and credentialing.
