Rehab office coordinator vs credentialing specialist

Differences between rehab office coordinator and credentialing specialist duties and responsibilities

Rehab office coordinator example responsibilities.

• Schedule staff, manage PPS and HMO, and attend multidisciplinary meetings.
• Provide meeting and committee support - creating and managing PowerPoint presentations and using technical skills to facilitate participation and discussion.
• Assure all employees submit payroll information on a weekly basis and submit all expense reports.
• Prepare reports regarding rehabilitation services such as utilization, performance improvement, productivity, and budget.
• Demonstrate fitness-level appropriate exercises, coordinate, and monitor patients progress through the challenges of cardiac rehabilitation.
• Provide MDS information as requested by facility.
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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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