Credentialing specialist vs unit coordinator

Differences between credentialing specialist and unit coordinator 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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Unit coordinator example responsibilities.

• Manage inpatient transfers to rehabilitation and medical facilities, along with preparing and monitoring outpatient billings insurance verification and referrals.
• Demonstrate care and compassion toward all patients and family members at all times.
• Receive all incoming phone calls; triage calls from the hospital emergency room.
• Display ability to identify and prioritize degree of urgency via assignment of triage.
• Review all patients EMR to ensure all appropriate power plans and quality measure consoles have been initiate.
• Coordinate the daily events in an ICU setting and all other secretarial duties, including but not limit to maintaining equipment.
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