Credentialing Specialist: DoD & Healthcare Verification

asmexternalcareersite; Forest Park (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

ASM Research seeks a credentialing professional to manage credentialing and re-credentialing applications for healthcare providers. You will perform PSV, coordinate with DoD guidelines, and maintain CCQAS records to support accession and privileging decisions.

You will interact with military facilities and health plans, ensuring compliant, high-quality credentialing processes while handling sensitive information with discretion.

Qualifications

• HS diploma or GED; Bachelor's degree in healthcare or business preferred.
• 2–5 years of physician credentialing experience in a medical group, hospital or health plan.
• Knowledge of credentialing guidelines for the DoD is preferred.
• Ability to handle confidential information and maintain quality standards.
• Strong communication and organizational abilities with attention to detail.

Responsibilities

• Processes credentialing and re-credentialing applications for the client.
• Reviews applications and prepares verification letters.
• Conducts Primary Source Verification (PSV) of licenses, certifications, and education.
• Queries NPDB/DPDB/DHHS/TRICARE sanction data banks as needed.
• Loads data into CCQAS and maintains records of verifications.
• Maintains relationships with Military Treatment Facilities and supported clients.
• Ensures providers are credentialed, appointed, and privileged with health plans and facilities.
• Reviews records for regulatory compliance and quality assurance.

Skills

CPCS

Customer focus

Interpersonal skills

Attention to detail

Documentation accuracy

Policy knowledge

Education

HS diploma or GED

Bachelor's degree in healthcare or business

Tools

CCQAS

DMHRSi

DoD credentialing guidelines

Job description

ASM Research seeks a credentialing professional to manage credentialing and re-credentialing applications for healthcare providers. You will perform PSV, coordinate with DoD guidelines, and maintain CCQAS records to support accession and privileging decisions.

You will interact with military facilities and health plans, ensuring compliant, high-quality credentialing processes while handling sensitive information with discretion.