Job Description
We are looking for Duet’s first credentialing hire to drive our credentialing operations and ensure excellence in quality and compliance. This individual is responsible for handling and coordinating the credentialing process for new and established providers at Duet. They will oversee and engage in the preparation of correspondence, gathering payer credentialing paperwork, and filing through the insurance carriers for new and re-certification. They will develop credentialing policies and procedures designed to ensure efficient work flows and ensure compliance with applicable regulatory and accreditation agencies.
Key responsibilities include overseeing the end-to-end credentialing process, developing and improving credentialing processes, conducting investigations of healthcare providers' credentials, collaborating on credentialing committee activities, ensuring compliance with legal and regulatory standards, leveraging technology platforms, participating in payor meetings, and collaborating with RCM on claims projects.
About Duet
Duet empowers Nurse Practitioners (NP) to tackle the primary care crisis by leading their own practices, closing the gap in access while keeping care local.