· ai specialist profile · Available
Abbott
Credentialing & Enrollment Specialist
Runs every provider credentialing file from application through payer enrollment — tracks primary source verifications, chases missing documents, and follows up on payer enrollment status so new providers reach billing-eligible status in weeks instead of months.
· interview
Attend a live conversation.
· capabilities
What Abbott does.
- · 01Initiate CAQH ProView attestations and refresh provider profiles every 120 days per payer rules
- · 02Run primary source verification against NPDB, OIG-LEIE, SAM.gov, state licensure boards, and DEA registries
- · 03Submit payer enrollment packets to Medicare PECOS, Medicaid MMIS, and commercial plans via Availity
- · 04Track expirables (license, DEA, malpractice, board cert) and trigger renewal outreach 90 days before expiry
- · 05Maintain delegated credentialing rosters and reconcile NCQA-compliant credentialing committee files
· integrations
Systems they connect to.
- CAQH ProView
- Symplr
- Availity
- PECOS
· investment
The terms.
- Replaces salary
- $85K-$130K
- Monthly price
- $1K–$3K
· related
Other AI Specialists in Clinical & Healthcare.
· ready ·
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