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Credentialing Specialist
Ref No.: 16-00096
Location: San Antonio, Texas
Start Date: 08/29/2016
Credentialing Specialist
Life on the Southwest Riviera!

The Community - San Antonio, TX
San Antonio may have an incredibly rich history, but it's also a destination rife with exciting new developments and attractions. One major new draw is the redevelopment of the legendary Pearl Brewery into a hip and artsy Urban Village along a newly completed extension of the enchanting River Walk - this bustling, eco-friendly complex includes shops, restaurants, entertainment and residences. Farther north along the river, the very first public golf venue in Texas, Brackenridge Golf Course, completed a stunning $4.6 million refurbishment in 2009, and in arts news, the prestigious McNay Art Museum nearly doubled in size with the opening of a dramatic new wing done in modernist style. With swank, see-and-be-seen restaurants, shops, and nightspots opening around the city, San Antonio has plenty to offer both new and repeat visitors.
 
Duties include but are not limited to
  • Required to gather credentialing information, perform PSV of healthcare professionals' credentials and conduct databank queries. This supports the credentialing and privileging processes at AF MTFs and ARC medical units.
  • Completes written PSV documentation capturing the required components to document the PSV IAW AFI 44-119.
  • Reviews credentialing applications, conduct follow-up to obtain missing credentials/information, conduct verifications, create provider credentialing records within CCQAS and maintain the CCQAS record.
  • Contacts medical office staff, educational institutions, 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 CCQAS 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 AFCCVO for action and appropriately updates the provider's electronic credentials file IAW AFI 44-119.
  • Identifies and reports potential "red flags” to the requestor and submits required credentials verification summaries, completes verification tasks within CCQAS and scans, appropriately names and uploads required documentation to CCQAS.
  • Audits provider credentials application and credentials file for compliance with requirements outlined in AFI 44-119.
  • Transfers provider credentials files to MTF credentials office or training office as appropriate. Closes out and inactivates electronic CCQAS records when appropriate.
  • Responds to queries/request for information and resolves originating request or routes the request to the appropriate individual for resolution.
  • Performs credentialing tasks in support of the processes managed by the senior credentialing specialists and in response to MTFs requests.
Qualifications
  • Three (3) years of experience in medical credentialing to include one (1) year of knowledge of the credentialing and privileging process, the required credentials for health care professionals, and the appropriate sources used to complete PSV and databank queries.
  • One (1) year of credentialing experience with the DoD utilizing CCQAS.
KurzSolutions is committed to improving health outcomes by providing well-managed companies with the top healthcare talent in the market.
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