The work
What you will own
These responsibilities describe the core work of this role. Final assignments remain within the professional's verified qualifications, scope, privileges, and program requirements.
01Collect required applications, attestations, licenses, transcripts, certifications, liability coverage, references, tax documents, and screening authorizations for each workforce category.
02Perform and document primary-source verification using the correct board, registry, database, or issuing institution and record the verification date and result.
03Complete exclusion, sanctions, background, and other required screenings at onboarding and the established recurring frequency.
04Maintain expiration alerts and recredentialing work queues for licenses, certifications, insurance, registrations, training, supervision, and payer requirements.
05Prepare and track CAQH, NPPES, TMHP, MCO, roster, demographic, reassignment, and other provider-enrollment submissions as assigned.
06Reconcile payer requests, information discrepancies, returned applications, effective dates, terminations, and roster status through documented follow-up.
07Maintain controlled onboarding, training, competency, supervision, contracting, and service-readiness evidence without treating completion as approval when requirements remain outstanding.
08Prevent assignment or billing when required clearance, credentialing, enrollment, authorization, or documentation is incomplete and escalate discrepancies promptly.
09Prepare audit-ready files, controlled reports, and status dashboards while protecting confidential workforce and credentialing information.