6100019352 Medical Credentialing Service

The San Antonio Metropolitan Health District (Metro Health) is seeking a contractor to provide medical credentialing services. The contractor will be responsible for enrolling, monitoring, and timely re-credentialing for Medicaid, Medicare, and commercial insurance payers for Metro Health clinics and laboratory services. The contractor will also track and report on credentialing status, application completeness, missing documents, and flagging issues or risks. Some key aspects of the job include: • Providing medical credentialing services for Metro Health clinics and laboratory services • Enrolling, monitoring, and timely re-credentialing for Medicaid, Medicare, and commercial insurance payers • Tracking and reporting on credentialing status, application completeness, missing documents, and flagging issues or risks • Providing ongoing services to ensure compliance with regulatory requirements