Compliance Specialist

Join our team as a Compliance Specialist! Manage credentialing for healthcare providers by verifying documents, ensuring regulatory compliance, and supporting onboarding. Must be detail-oriented, organized, and tech-savvy, and with strong communication skills.

Job Description

The Compliance Specialist is responsible for managing and coordinating the credentialing and recredentialing process for healthcare providers. This includes verifying qualifications, certifications, licenses, and other documentation to ensure compliance with organizational policies, regulatory standards, and payer requirements.

Responsibilities

Adhere to federal and state laws, relevant healthcare program requirements and account’s business policies and Code of Conduct
Participate in core compliance training and activities to identify and communicate areas of risk and potential improvement opportunities
Communication with nurse candidates everything that they need to begin an assignment making sure they meet the client’s credentialing requirements and on time.
Reviewing and processing all the confirmations and documentation that comes with the staffing services for our healthcare candidate and clients.
Conducts primary source verification, collects and validates documents to ensure accuracy of all credentialing elements; assesses completeness of information and qualifications relative to credentialing standards of Clients and the agency.
Run background checks, drug testing, enroll in training certifications, and or medical requirement appointments for candidates.
Submission of all employment documents of the candidate through electronic communication or the Client’s web portal.
Preparing employment and onboarding packets for new hires via electronic documents and client web portals
Providing general customer support to our candidates along with our sales team.
Maintain licensing, credentials, and insurance records validity
Conduct research on updated state and federal regulations and policies
Help develop and document internal credentialing processes
Conduct and maintain compliance with regulatory and accrediting institutions
Participation in Joint Commission accreditation
Identify and/or resolve nurse candidate’s customer service issues
Assist in business development efforts
Perform all other duties as assigned

Minimum Qualifications

Ability to meet strict deadlines
Attention to detail
Good communication skills
Knowledgeable in policies, laws and procedures
Strong computer skills
Proficiency in database management or HRIS
Willingness to work as a team player
Good organizational skills

Date Posted:

4 days ago

Location:

SJDM, Bulacan

Title:

Compliance Specialist

Job Type:

Full-time

Category:

Non-Clinical

Account:

Voice and non-voice accounts

Shift:

Night Shift

Experience Level:

Preferably with BPO experience.

ACS Pro Global is the top solutions provider in Bulacan, Philippines, serving US-based clients in the healthcare industry. Offering clinical and non-clinical services, we empower businesses to boost productivity and patient experience while providing our employees with global career opportunities.

Compliance Specialist

Job Description

Responsibilities

Minimum Qualifications

NAVIGATION

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