6. Primary Source Verification
- Perform primary source verification for initial and re-credentialing of assigned providers utilizing NCQA Standards and other federal and state regulatory requirements.
- Processed mortgage applications and performed credentialing verification with primary source verification (PSV) for all providers.
- Provided primary source verification on appointment and reappointment, including national data bank queries, malpractice history.
- Completed primary source verification based on the requirements of each provider.
- Performed primary source verification for initial credentialing and reappointment applications.
- Coordinated primary source verification of initial and reappointment applications.
- Use software system to improve application process., * Obtain primary source verification of all information listed in application.
- Produced, documented, and tracked primary source verification letters, including follow-up, second and third requests.
- Conducted thorough background investigation, research and primary source verification of all components of the application file.
- Assist with primary source verification, responding to BPI requests via email, fax, and phone.
- Conduct primary source verification of all components of the application and documents.
- Completed primary source verification on all providers for Credentialing and Recredentialing.
- Conduct detailed background investigations and primary source verifications on providers.
- Implemented credentialing standards which included primary source verifications.
- Perform all required primary source verifications.
- Processed all primary source verifications.
- Obtain primary source verification of licensure, education and training, and specialty board certification via telephone, fax or online.
- Oversee the primary source verifications and performs quality audits.
- Performed primary source verifications (FACIS, OIG, NJ Debarment, EPLS, CertiFacts, FSMB, State license).
- Maintained physician database and performed primary source verifications for appointments/reappointments.
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