Credentialing & Compliance Specialist

ASM Research, An Accenture Federal Services Company; Montgomery (AL); On-site; USD 33,000 - 36,000; Full time

Job summary

ASM Research is seeking a Credentialing Specialist to process credentialing and re-credentialing applications for clients. You will perform PSV of licenses, certifications, and education, and conduct queries through NPDB, DPDB, DHHS, and TRICARE data banks.

You will collect references, verify practice history, and ensure CCQAS records are accurate and compliant with DoD credentialing guidelines. Excellent attention to detail is essential.

Qualifications

• HS diploma or GED; Bachelor’s Degree in healthcare or business field preferred
• CPCS certification preferred
• 2–5 years of physician credentialing experience in a medical group, hospital or health plan

Responsibilities

• Process credentialing and re-credentialing applications for the client.
• Conduct Primary Source Verification (PSV) of licenses, certifications, education and training.
• Query NPDB, DPDB, DHHS and TRICARE sanction data banks.
• Collect references and medical practice history; verify malpractice information.
• Load data into CCQAS and maintain records; ensure regulatory compliance.

Skills

Customer focus

Interpersonal skills

Communication

Prioritization

Computer skills

Education

Bachelor’s degree in healthcare or business

Tools

CCQAS

DMHRSi

Job description

ASM Research is seeking a Credentialing Specialist to process credentialing and re-credentialing applications for clients. You will perform PSV of licenses, certifications, and education, and conduct queries through NPDB, DPDB, DHHS, and TRICARE data banks.

You will collect references, verify practice history, and ensure CCQAS records are accurate and compliant with DoD credentialing guidelines. Excellent attention to detail is essential.