Credentialing & Compliance Specialist

ASM Research, An Accenture Federal Services Company; Harrisburg (Dauphin County); Vor Ort; USD 33.000 - 36.000; Vollzeit

Zusammenfassung

ASM Research, An Accenture Federal Services Company in Harrisburg, PA seeks a Credentialing Specialist to process credentialing and re-credentialing applications for DoD clients. You will verify credentials, compile verification letters, and coordinate with licensing authorities, insurers, and departments to keep credentials current.

The role requires attention to detail, strong data management, and ability to handle confidential information.

Qualifikationen

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

Aufgaben

• Review credentialing and re-credentialing applications and prepare verification letters.
• Conduct Primary Source Verification (PSV) for licenses, certifications, and training.
• Query NPDB/DPDB/DHHS/TRICARE sanction data for credential checks.
• Load data into CCQAS and maintain records and documentation.
• Maintain DoD credentialing guidelines familiarity and support to clients.

Kenntnisse

Customer service

Interpersonal skills

Communication

Prioritization

Computer skills

Ausbildung

HS diploma or GED

Bachelor’s Degree in healthcare or business field

Certified Provider Credentialing Specialist (CPCS)

Tools

CCQAS

DMHRSi

Jobbeschreibung

ASM Research, An Accenture Federal Services Company in Harrisburg, PA seeks a Credentialing Specialist to process credentialing and re-credentialing applications for DoD clients. You will verify credentials, compile verification letters, and coordinate with licensing authorities, insurers, and departments to keep credentials current.

The role requires attention to detail, strong data management, and ability to handle confidential information.