Credentialing Assistant (Washington DC)
- Bethesda, MD
- Permanent
- Full-time
- Degree issuing institution and or program must be accredited by an entity recognized by the U.S. Department of Education
- Bachelor’s degree required.
- One year credentialing experience, preferably in the medical/healthcare environment.
- Experience in automated credentialing systems.
- Certified Provider Credentialing Specialist (CPCS) by the National Association Medical Staff Services.
- Knowledge of the credentialing and privileging process, requirements and scope of practice.
- Ability to manage multiple tasks, to prioritize needs and expedite credentialing upon request.
- Strong communication skills with a focus on customer service.
- Ability to work in a multi-cultural and multi-lingual environment.
- Ability to adapt to sudden changes in schedules and flexibility in work requirements.
- Ability to communicate proficiently in English (verbal and written) in order to develop positive rapport with co-workers and other stakeholders.
- Ability to establish and maintain positive working relationships in a multidisciplinary environment.
- Ability to navigate in an electronic work environment including web based research, training and communications.
- Knowledge of, and moderate proficiency in, common Microsoft Office programs, specifically Microsoft Word, Excel, Outlook and SharePoint.
- Knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as Personally Identifiable Information (PII).
- Strong oral and written communication skills
- Excellent interpersonal skills
- Critical thinking skills
- Cultural competency
- Integrity and honesty
- Strong attention to detail
- Responsible for all functions related to healthcare worker and other contractor staff credentialing, re-credentialing and privileging in accordance with regulatory/compliance guidelines as well as IHSC requirements.
- Responsible for obtaining and verifying credentials, certifications, state licensures, and other professional credentials as well as maintaining on-going checks to ensure that all credentials remain current.
- Responsible for the accuracy and integrity of the credential/privileging files, whether in hard copy or electronic form.
- Initiates and follows through on all aspects of the credentialing process, including initial and re-credentialing, for all healthcare and other staff as needed.
- Prepares and generates healthcare worker and other staff credentialing/privileging packets and provides guidance to ensure timely completion.
- Conduct various background checks from a wide variety of sources as needed to verify the credentials and suitability of candidates, including but not limited to: NPDB, OIG/GSA, National Sex Offender Registry, and the National Student Clearinghouse.
- Maintains new hire as well as on-going credential files for IHSC staff, and makes them accessible as needed. Ensure they contain evidence of all certifications required, including training requirements.
- Responsible for updating and maintaining the currency of all credential files. Verify that annual or other training/licensure is completed on a timely basis, and that credential files are updated to reflect the current status of all staff
- Produce monthly and ad hoc reports to identify any missing data or credentials, any credentials/certifications that are lapsing, and the status of employees’ credential files
- Verify/validate employment experience, education, licensure, residency and other training, specialty board certification or current eligibility, and any other information from a resume, curriculum vitae, etc. as needed.
- Document all work performed to ensure that all information is properly recorded and tracked
- Works closely with vendor recruiting staff as needed to provide updates on the status of activities and notify them of the outcome of research.
- HSC operates 24/7/365; this position may be required to respond during an emergency activation.
- On-call availability is not required for this position.
- The Department of Homeland Security’s Personnel Security Unit (PSU) must render an Initial Preliminary Favorable Fitness Determination to be considered a qualified candidate.
- A Complete Favorable Fitness Determination must be rendered by PSU upon completion of initial, and between, subsequent background investigations to meet the requirements of this position.
- Physically capable of performing duties and responsibilities as listed above.
- Sitting for prolonged periods of time.
- Frequent use of common office technology such as the computer, telephone etc.
- Ability to lift, carry and move up to 30 lbs.