Credentialing

Clemson University is seeking a qualified contractor to provide comprehensive credentialing and provider enrollment services for Clemson Rural Health. The contractor will be responsible for managing the full end-to-end provider enrollment and credentialing process, including initial credentialing, recredentialing, enrollment applications, and Primary Source Verification. The contractor will also be required to conduct sanction monitoring, maintain accurate records, and ensure compliance with all applicable laws and regulations. The contract will be for an initial term of one year, with the option to renew for up to four additional years. • The contractor must have experience providing healthcare credentialing and provider enrollment services. • The contractor must have experience with government and commercial payer enrollment. • The contractor must have experience conducting Primary Source Verification. • The contractor must be able to maintain confidentiality and comply with HIPAA requirements. • The contractor must have sufficient staffing and operational capacity to perform all required services.