- New Provider, Group and/or Facility enrollments
- Handling all re-credentialing and maintenance issues with all commercial payers
- Maintain credentialing documents and contracts for Facility, Group and/or Providers
- Physician and Facility re-credentialing management and manage contract renewals
- Ensuring Physician and Facility information is accurate and up-to-date with insurance companies
- Revalidations of insurances (Medicare, Medicaid etc.)
- Re-attestation and Maintenance of CAQH on schedule
- Expiration Date Maintenance – Provide alerts of malpractice and insurance license expiration dates
- Ensuring Facility and physicians meet State requirements