Credentialing specialist vs scheduling manager

Differences between credentialing specialist and scheduling manager duties and responsibilities

Credentialing specialist example responsibilities.

• Establish rapport with all PCP offices, hospital personnel, and manage care representatives.
• Manage and administer the programs CME accredit education programs/Conferences.
• Ensure enrollment and participation with all organization contract managed care plans and perform Medicaid/Medicare provider enrollment.
• Process and manage all requests and applications for CME certification and supervise activities relate to credentialing process.
• Perform spot claims audits to ensure CMS compliance with ICD-9, HCPCS, CPT, and other requirements.
• Maintain and track data for OPPE and FPPE according to hospital policy and regulatory requirements.
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Scheduling manager example responsibilities.

• Manage, schedule, and run quality assurance on customer appointments for field analysts.
• Lead ISO 9001 internal audits, as well as a lean team and 6S participant.
• Analyze contractor prepare CPM schedules and work with contractors and consultants to achieve an approve baseline schedule.
• Analyze the IMS and manage cross-program dependencies to inform managers of schedule concerns, issues, and risks.
• Accomplish implementation of upgrade inventory management process, change control, policies and procedures to meet FDA's mandate criteria.
• Manage daily operations including scheduling, forecasting, budgeting, timekeeping and payroll.
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