DoD Credentialing Pro: Healthcare Compliance

ASM Research, An Accenture Federal Services Company; Sacramento (CA); Vor Ort; USD 33.000 - 36.000; Vollzeit

Zusammenfassung

ASM Research, an Accenture Federal Services company, is seeking a Credentialing Specialist to support credentialing and re-credentialing for healthcare clients. You will review applications, perform PSV, compile verification letters, and coordinate with DoD and health plans to ensure compliant credentialing and privileging.

You will collect references, demographics, and practice histories, load data into CCQAS, and maintain accurate records while resolving issues and ensuring timely client

Qualifikationen

• HS diploma or GED; Bachelor’s Degree in healthcare or business preferred.
• Certified Provider Credentialing Specialist (CPCS) preferred.
• 2-5 years of experience performing physician credentialing 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 licenses, certifications, and affiliations.
• Load data into the DoD Centralized Credentials Quality Assurance System (CCQAS).
• Maintain CCQAS records and track credentialing status for healthcare practitioners.
• Research and resolve credentialing problems; escalate complex issues as needed.
• Ensure providers are credentialed, appointed, and privileged with health plans and facilities.

Kenntnisse

Customer focus

Interpersonal skills

Written/verbal communication

Prioritization

Organization

Attention to detail

Ausbildung

HS diploma or GED

Bachelor's degree in healthcare or business

Certified Provider Credentialing Specialist (CPCS) preferred

Tools

CCQAS

DMHRSi

NPDB/DPDB

Jobbeschreibung

ASM Research, an Accenture Federal Services company, is seeking a Credentialing Specialist to support credentialing and re-credentialing for healthcare clients. You will review applications, perform PSV, compile verification letters, and coordinate with DoD and health plans to ensure compliant credentialing and privileging.

You will collect references, demographics, and practice histories, load data into CCQAS, and maintain accurate records while resolving issues and ensuring timely client