Quality Assurance Coordinator
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About the Role
This role owns the behind-the-scenes verification work that keeps providers credentialed and ensures full regulatory and compliance standards are met. You will work the verification dashboard daily, running each required check, documenting results in the Applicant Tracking System (ATS) / CRM database, and clearing items within established policy turnaround times.
Key Responsibilities
Primary Verification & Compliance Duties
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Run and clear all required provider verifications on the QA dashboard daily, including:
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OIG exclusion searches (LEIE database) and SAM government sanction checks when requested
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DEA registration status checks, including renewals, duplicate certificates, and address changes
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State medical and nursing license verifications (including NURSYS checks and state-specific background/disciplinary reviews)
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State Controlled Substance (CSR) license verifications in applicable states
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NPI Registry verifications
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Save all verification results in the ATS/CRM under the provider's certificate tab following standardized naming conventions.
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Escalate any exclusion, sanction, or disciplinary findings to the Quality Assurance Specialist (QAS) and QA Manager immediately.
Operations & Records Management
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Process incoming independent contractor work-history verification requests:
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Confirm signed Release & Authorization
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Research work history across internal ATS/CRM, payroll (ADP), and archive systems (SharePoint)
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Complete the Independent Contractor Letter and return it within the required 2-business-day turnaround
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Maintain complete, audit-ready verification records across the ATS/CRM and file archive systems.
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Monitor the dashboard queue daily to ensure no items age past policy thresholds.
Potential Additional Scope
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Assist with obtaining provider case logs from prior employment.
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Assist with obtaining provider Certificates of Insurance (COIs) from prior employment.
Qualifications & Profile
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Education: High school diploma or equivalent required; Associate's degree preferred.
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Experience: 2+ years of administrative, credentialing, or healthcare staffing experience preferred.
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Attention to Detail: Meticulous approach to verification and comfort navigating multiple databases, public registries, and internal systems.
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Organizational Skills: Ability to manage a high-volume queue with high accuracy under strict deadline pressure.
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Autonomy: Self-motivated and able to execute repetitive, detail-intensive documentation work independently with minimal oversight.
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