Quality Assurance Specialist

Overview

The Credentialing Quality Assurance Specialist plays a critical role in ensuring cliniciancredentialing files meet client standards prior to clearance. This role may support both internaland external onboarding teams by reviewing documentation, tracking quality trends, andproviding actionable feedback. The specialist will serve as a key partner in driving accuracy,compliance, and timely file completion, ultimately supporting a seamless clinician onboardingexperience.

Responsibilities

Review, approve, or deny credentialing assets submitted in the TCoD system (e.g., licenses, certifications, background reports, etc.,)· Ensure deal is moved to appropriate status (PCC)· Validate accuracy and completeness of documents based on facility-specific protocols· Communicate directly with Onboarding Specialists (internal and external) with clear, concise notes and rationale for any denied documentation· Ensure timely follow-up on corrected and resubmitted documents· Monitor and review suppressed items for accuracy· Monitor and review At-Risk asset documentation to ensure process was followed appropriately· Approve Pending OK items when appropriate· Communicate audit completion to Onboarding Specialists once file reviews are finalized, ensuring timely feedback and corrective actions· Confirm deal has been marked as ready to start appropriately· Contribute to continuous improvement efforts by tracking trends in denied documentation and identifying common issues· Assist with various projects based on business needs