DoD Credentialing Specialist – Healthcare Compliance

ASM Research, An Accenture Federal Services Company; Saint Paul (MN); Presencial; USD 33.000 - 36.000; Jornada completa

Descripción de la vacante

ASM Research, An Accenture Federal Services Company, is seeking a credentialing specialist to process credentialing and re-credentialing applications for a federal client. The role involves PSV verification, data collection, and coordinating with DoD and health plans to ensure compliant credentials.

Responsibilities include contacting licensing agencies, performing NPDB/DPDB checks, maintaining CCQAS records, and ensuring timely provision of required documents to support access decisions.

Formación

• HS diploma or GED; Bachelor’s Degree in healthcare or business field preferred.
• Certified Provider Credentialing Specialist (CPCS) preferred
• 2-5 years of experience performing physician credentialing at a medical group, hospital or health plan.
• Strong customer focus and interpersonal, collaboration, written/verbal communication, prioritization and computer skills.
• Strong attention to detail and good organizational capability.
• Knowledge of Department of Defense credentialing guidelines preferred.
• Experience using CCQAS and DMHRSi a plus.
• Ability to handle confidential information daily in a professional manner.
• Familiarity with credentialing policies, guidelines, and DoD processes.

Responsabilidades

• Processes credentialing and re-credentialing applications for the client.
• Reviews applications and prepares verification letters.
• Contacts departments, licensing agencies, and insurance carriers to complete credentialing tasks.
• Provides support to the client in collecting and querying credentials of members.

Conocimientos

Credentialing

DoD guidelines

Attention to detail

Communication

Multitasking

Data entry

Teamwork

Educación

HS diploma or GED

Bachelor’s Degree in healthcare or business

CPCS Certification

Herramientas

CCQAS

DMHRSi

Descripción del empleo

ASM Research, An Accenture Federal Services Company, is seeking a credentialing specialist to process credentialing and re-credentialing applications for a federal client. The role involves PSV verification, data collection, and coordinating with DoD and health plans to ensure compliant credentials.

Responsibilities include contacting licensing agencies, performing NPDB/DPDB checks, maintaining CCQAS records, and ensuring timely provision of required documents to support access decisions.