DSI Corporation Credentialing Specialist Cannon AFB, NM · Full time

Apply for Credentialing Specialist

About Us:

DSI Corporation is a distinguished provider renowned for its unwavering commitment to delivering exceptional Credentialing and Privileging Support Services. Join us in our mission to ensure that every beneficiary receives access to qualified healthcare professionals, making a meaningful difference in the lives of individuals and communities alike.

Key Responsibilities:

• Manage and maintain accurate records of licensing, credentials, and insurance for healthcare professionals.
• Conduct comprehensive research to stay abreast of evolving state and federal regulations, ensuring compliance at all times.
• Provide expert guidance in developing and refining internal credentialing processes to optimize efficiency and effectiveness.
• Proactively monitor license and credential expiration dates, providing timely reminders to staff members.
• Ensure strict adherence to regulatory standards and facilitate continuous improvement initiatives to enhance compliance practices.

Centralized Credentials Quality Assurance System Database Administrator Duties:

• Serve as a trusted technical advisor, offering insights and recommendations to relevant authorities.
• Develop and implement robust policies and procedures for the credentialing program, promoting consistency and transparency.
• Verify providers' identification and meticulously manage credential information with utmost accuracy.
• Oversee the Centralized Credentials Quality Assurance System (CCQAS) database, ensuring data integrity and accessibility.
• Coordinate fee-exempt DEA and NPI registrations, facilitating seamless integration with organizational processes.
• Collaborate closely with various departments to organize materials for committees and support cross-functional initiatives.

Qualifications and Certifications:

• Demonstrated expertise in credentialing and privileging practices, with a proven track record of success.
• In-depth knowledge of state medical boards and certification requirements, coupled with the ability to navigate complex regulatory landscapes.
• Exceptional problem-solving skills, enabling effective resolution of intricate credentialing issues.
• Familiarity with AF healthcare directives, coupled with proficiency in medical terminology.
• Proficiency in automated data systems, with hands-on experience in database management preferred.
• 1 to 3 years of direct experience in credentialing within a healthcare setting.

Relevant Skills:

• Ability to meet strict deadlines with precision and accuracy.
• Impeccable attention to detail, ensuring thoroughness in all aspects of credentialing processes.
• Strong communication skills, both verbal and written, facilitating effective collaboration and information dissemination.
• Sound understanding of policies, laws, and procedures governing credentialing practices.
• Advanced computer skills, including proficiency in database management systems.
• Proven ability to work collaboratively as part of a cohesive team.
• Excellent organizational skills, with a keen ability to multitask and prioritize effectively.

Health Care Requirements:

• Report to the 27 SOMDG Public Health offices for a comprehensive briefing on the Employee Health Program.
• Current CPR Certification is mandatory for all staff members.

Work Schedule & Location:

• This position requires in-person presence from Monday to Friday, totaling 40 hours per week.