Credentialing Specialist
HGS - Hinduja Global Solutions
El Paso, TX
01.2020 - 03.2021
- Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
- Maintained detailed records of provider data in the credentialing database system.
- Performed initial review for new providers to determine eligibility for enrollment into the network.
- Conducted background checks on potential providers utilizing various resources including state licensing boards, OIG and GSA Exclusion List, NPDB.
- Processed re-credentialing applications for existing providers according to contractual requirements.