Senior Credentialing Specialist

Bestica•San Antonio, TX

7d•Onsite

About The Position

Bestica is seeking a Senior Credentialing Specialist to provide support to our Federal client in San Antonio, TX. The purpose of the Defense Health Agency Centralized Credentials Verification Office (DHACCVO) is to provide a turn-key operation for credentialing support to the Air Force Medical Service (AFMS) and Navy Medical Treatment Facilities by gathering required credentials, performing Primary Source Verification (PSV) of applicable credentials, conducting databank queries, and entering all data into the Joint Centralized Credentials Quality Assurance System (JCCQAS). The DHACCVO will also provide required data for future credentialing and privileging decisions to appropriate customers within the AFMS, Air Force Recruiting Services (AFRS), Air Force Personnel Center (AFPC), Air Reserve Personnel Center (ARPC), Air Force Reserve Command (AFRC), Air National Guard (ANG) recruiters and units and Navy Medical Treatment Facilities. DHACCVO will provide credentialing support to the AFMS and Navy Medical Treatment Facilities by gathering required credentials, performing PSV of appropriate credentials, work history PSV, and conducting databank queries, entering all data into JCCQAS and providing required data for credentialing and privileging decisions to appropriate customers.

Requirements

Five (5) 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.
Three (3) years of credentialing experience with the DoD utilizing JCCQAS.

Responsibilities

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