What are the responsibilities and job description for the Site Inspector position at Skill Demand?
Pay: $25 to $30/hr on 1099
8 to 10 visits per week/ 2 to 3hrs per visit
Summary:
Position Summary:
We are seeking a detail-oriented and highly organized Site Inspector - Credentialing - to join our team. The successful candidate will conduct on-site inspections of healthcare facilities to ensure compliance with credentialing standards, regulatory requirements, and quality benchmarks. This role is integral to maintaining a high-quality provider network and ensuring the safety and satisfaction of patients served by the network.
Key Responsibilities
1. Site Inspections and Evaluations:
o Perform on-site inspections of provider facilities, including clinical and administrative areas, to assess compliance with company standards, state and federal regulations, and accreditation requirements (e.g., NCQA).
o Evaluate physical environments for cleanliness, accessibility, equipment maintenance, and patient safety protocols.
o Review facility policies, procedures, and documentation related to patient care, infection control, and emergency preparedness.
2. Credentialing Verification:
o Confirm licensure, certifications, and accreditations of healthcare providers and facilities during site visits.
o Ensure adherence to operational and staffing standards, including adequate training and credentialing of clinical staff.
3. Reporting and Documentation:
o Document findings in detailed inspection reports, highlighting areas of compliance and deficiencies.
o Recommend corrective actions and follow up on implementation to ensure compliance.
4. Stakeholder Engagement:
o Act as a liaison between the provider network and the credentialing department to address compliance issues.
o Educate providers on credentialing standards and assist in improving their readiness for inspections.
o Conduct interviews with healthcare staff, management, and providers to gather insights on operations and patient care practices.
o Analyze staff qualifications and training programs to ensure adherence to best practices in healthcare delivery.
5. Quality Assurance and Continuous Improvement:
o Collaborate with internal teams to improve credentialing processes and provider onboarding.
o Participate in quality assurance initiatives to enhance overall provider network performance.
6. Travel:
o Travel to provider locations as required for on-site inspections.
Qualifications
Education and Experience:
o Associate’s degree in Healthcare Administration, Social Work, Nursing, Public Health, or a related field, Certified Medical Assistant or Registered Medical Assistant with relevant experience.
o 2–3 years of experience in clinical setting or healthcare operations.
Skills and Certifications:
o Understanding of state Medicaid guidelines, regulations, and policies
o Strong knowledge of healthcare accreditation standards (e.g., NCQA, Join Commission
o Familiarity with regulatory requirements, including HIPAA and OSHA
o Familiarity with coding practices (ICD 10, CPT coding) is preferred.
o Certification in healthcare credentialing or quality (e.g., CPCS, CPHQ, CJCP) is preferred.
o Excellent communication and interpersonal skills for provider engagement.
o Proficient in Microsoft Office Suite and credentialing software systems.
Other Requirements:
o Valid driver’s license and reliable transportation for travel to provider sites.
o Ability to manage multiple inspections and meet deadlines in a fast-paced environment.
Salary : $25 - $30
