Credentialing Specialist

Bestica; San Antonio (TX); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Medical

Vision

Life

Dental

PTO 10 days

11 paid federal holidays

Competitive salary

Amazing work environment

Job summary

Bestica seeks a Credentialing Specialist to support our Federal client in San Antonio, TX. The role focuses on PSV, credentialing, licensure verification, and maintaining provider records within JCCQAS.

Includes responsibility for contacting institutions to obtain verifications, updating systems, and ensuring compliance with DHA PM 6025.13 and related directives. This is a full-time on-site position with a collaborative environment.

Qualifications

• Three years of medical credentialing experience including credentialing and privileging processes.
• One year of DoD credentialing experience using JCCQAS.

Responsibilities

• Perform PSV of credentials and conduct databank queries for DHA/AFMS providers.
• Review credentialing applications and obtain missing credentials.
• Create and maintain provider credentialing records in JCCQAS.
• Contact medical offices and agencies to verify credentials.
• Update JCCQAS with credential and PSV information.
• Convert documents to PDF and upload to the provider's credentials file.

Skills

Medical credentialing

PSV process

DoD credentialing

Verifications

Tools

JCCQAS

Job description

Job Details: Job Location: DHA CCVO (Credentialing) - San Antonio, TX, Position Type: Full Time, Education Level: Not Specified, Salary Range: Undisclosed, Travel Percentage: None, Job Shift: Day, Bestica is seeking a Credentialing Specialist to provide support to our Federal client in San Antonio, TX.

Benefits, Compensation, and Details:

• Medical *Vision
• Life *Dental
• 10 Days PTO
• 11 Paid Federal Holidays
• Competitive Salary
• Amazing Work Environment
• Fulltime

Qualifications:

Must Have Experience:

• Three (3) years of experience in medical credentialing to include knowledge of the credentialing and privileging process, the required credentials for healthcare professionals, knowledge of appropriate sources used to complete PSV, work history verifications, and databank queries.
• One (1) year of credentialing experience with the DoD utilizing JCCQAS.

Responsibilities to include but not limited to:

• Designated DHA and AFMS agent to gather credentialing information, perform PSV of healthcare professionals' credentials, affiliation, and work history verifications, and conduct databank queries. This supports the credentialing and privileging processes at DHA AF and Navy MTFs and ARC medical units.
• Completes written PSV documentation capturing the required components to document the PSV IAW DHA PM 6025.13, vol 4 and DAFI 44-119.
• Reviews credentialing applications, conduct follow-up to obtain missing credentials/information, conduct verifications, create provider credentialing records within JCCQAS and maintain the JCCQAS record.
• Contacts medical office staff, educational institutions, employers, licensing and certifying agencies, to obtain and complete the verification of credentials.
• Obtains required credentials and complete PSV of the credentials from the originating source or designated agent, date stamps the documentation upon receipt.
• Updates the appropriate screens within JCCQAS to capture the credential and PSV of the credential. Converts documentation to a PDF format, scans, appropriately names and uploads the documentation to the provider's electronic credentials file.
• Completes credentialing tasks routed to the DHACCVO for action and appropriately updates the provider's electronic

We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation and synergy are encouraged to build our workplace into a community of like-minded, passionate people.

Bestica is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.