Remote DoD Credentialing Specialist for Healthcare

ASM Research, Inc.; United States; Remote; USD 33,000 - 36,000; Full time

Job summary

ASM Research, Inc. is seeking a Credentialing Specialist to process credentialing and re-credentialing applications, verify licenses, certifications, and training, and liaise with DoD CCQAS and other data banks.

You will perform primary source verification, query NPDB/DPDB/DHHS, collect references, maintain records, ensure compliance, and support clients with accessions and privileging decisions; telework is available for this full-time role.

Qualifications

• 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.

Responsibilities

• Process credentialing and re-credentialing applications and prepare verification letters.
• Conduct Primary Source Verification of licenses, certifications, registrations, education and training.
• Query NPDB, DPDB, DHHS and TRICARE sanction data banks.
• Collect references, privileges, demographics and insurance information.
• Load data into CCQAS and maintain records.
• Track credentialing status and provide documents to clients for accession decisions.
• Maintain relationships with Military Treatment Facilities and supported customers.
• Ensure providers are credentialed, appointed and privileged with health plans and facilities.
• Review records for regulatory compliance and quality assurance.

Skills

Customer focus

Interpersonal skills

Communication

Prioritization

Organizational skills

Attention to detail

Multi-tasking

Confidentiality

Quality focus

Policy familiarity

Education

HS diploma or GED

Bachelor’s Degree in healthcare or business

Certified Provider Credentialing Specialist (CPCS)

Tools

CCQAS

DMHRSi

Job description

ASM Research, Inc. is seeking a Credentialing Specialist to process credentialing and re-credentialing applications, verify licenses, certifications, and training, and liaise with DoD CCQAS and other data banks.

You will perform primary source verification, query NPDB/DPDB/DHHS, collect references, maintain records, ensure compliance, and support clients with accessions and privileging decisions; telework is available for this full-time role.