Credentialing & Compliance Specialist

ASM Research, An Accenture Federal Services Company; Baton Rouge (LA); Vor Ort; USD 33.000 - 36.000; Vollzeit

Zusammenfassung

ASM Research, an Accenture Federal Services company, seeks a Credentialing Specialist to support DoD healthcare providers in credentialing and re-credentialing activities in Baton Rouge, LA. You will review applications, perform PSV, and coordinate with departments, licensing agencies, and insurers to gather and verify credentials.

The role requires strong detail orientation, excellent communication, and the ability to handle multiple tasks.

Qualifikationen

• HS diploma or GED; Bachelor’s Degree in healthcare or business preferred.
• Certified Provider Credentialing Specialist (CPCS) preferred.
• 2–5 years of physician credentialing experience at a medical group, hospital or health plan.

Aufgaben

• Process credentialing and re-credentialing applications for the client.
• Review applications and prepare verification letters.
• Conduct Primary Source Verification (PSV) of credentials (licenses, certifications, registrations, education, residency, training, board certs).
• Query NPDB, DPDB, DHHS and TRICARE sanction data banks.
• Load data in CCQAS and maintain records of applications and verifications.

Kenntnisse

Customer focus

Interpersonal skills

Collaboration

Written communication

Verbal communication

Prioritization

Computer skills

Ausbildung

HS diploma or GED

Bachelor’s Degree in healthcare or business

Tools

CCQAS

DMHRSi

Jobbeschreibung

ASM Research, an Accenture Federal Services company, seeks a Credentialing Specialist to support DoD healthcare providers in credentialing and re-credentialing activities in Baton Rouge, LA. You will review applications, perform PSV, and coordinate with departments, licensing agencies, and insurers to gather and verify credentials.

The role requires strong detail orientation, excellent communication, and the ability to handle multiple tasks.