Unit secretary vs credentialing specialist

Differences between unit secretary and credentialing specialist duties and responsibilities

Unit secretary example responsibilities.

• Create and maintain confidential patient files; implement EHR systems to automate patient records management.
• Manage Medicare and Medicaid reimbursement.
• Manage the medical unit by supervising its activities, accurately transcribing physician orders, and prioritizing tasks.
• Conduct 6 mass vaccination campaigns, manage protein-calorie malnutrition, coordinate epidemiological surveillance, and direct health facility rehabilitation
• Assist patients with their daily routine, including feeding, cleanliness and basic needs.
• Post anesthesia recovery care for ophthalmology, ENT and plastic surgery patients
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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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