Compliance and Credentialing Specialist

August 27

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Ansible Government Solutions

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Description

• Coordinates and reviews provider files for completeness, accuracy, and compliance with federal, state, and facility regulations, guidelines, policies, and standards • Monitors provider files to ensure completeness and accuracy • Conducts research on updated state and federal regulations and policies • Coordinates and reviews provider security and background check documents for completeness, accuracy, and compliance with federal, state, and facility regulations, guidelines, policies, and standards • Prepares, issues, electronically tracks and follows-up on appropriate verifications with providers as related to the security process • Prepares and provides information to internal and external customers, as appropriate • Enters, updates, and maintains data from provider files into credentialing database in accordance with internal policies and procedures • Prepares, issues, electronically tracks and follows-up on appropriate verifications with providers • Participates in the development and implementation of process improvements related to credentialing and compliance • Prepares and analyzes reports and data and can clearly communicate findings and results • Communicates clearly with providers and their liaisons to provide timely responses upon request on day-to-day credentialing and privileging matters that arise • Supports multiple team members and projects simultaneously and prioritizes in a fast-paced environment • Performs miscellaneous job-related duties as assigned

Requirements

• Must have a minimum of 5 years of credentialing experience • Bachelor’s or associate degree preferred • Prior government contracting experience strongly preferred • Eligible to work in the United States • Highly developed oral and written communication skills • Highly organized and strong time management skills • Must be extremely detail oriented and able to multitask • Ability to handle confidential information in a professional manner • All candidates must be able to: Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift • Lift up to 50 lbs from floor to waist • Lift up to 20 lbs • Carry up to 40 lbs a reasonable distance • Push/pull with 30 lbs of force