Career Opportunity

Career Opportunity

Credentialing Specialist

Arlington, VA

The purpose of this overall project is to provide centralized credentialing and privileging services and support to the client with initial entry credentialing, maintenance of credentialing and privileging, and support the Centralized Credentials Privileging Board’s review of completed credentials and privileging files.  The team will also support the client in the development of the accessions credentialing process and be a point of contact for ARNG providers for centralized credentialing and privileging. 
 
Essential Functions and Job Responsibilities: 
 
Individual will be responsible for managing the verification process for all healthcare professionals (physicians, dentists, nursing, allied health).  This includes reviewing applications for completion, verification of state licensure, collecting information contained in the national physician data bank, collecting information from the Health Care Integrity and Protection Databank, collection of information from State Licensing activities well as their State Emergency System for Advance Registration of Volunteer Health Professionals. 
 
Job duties will specifically also include:  :
  • Providing direct supervision to the support staff in administering all aspects of processing applications.
  • Implementing ARNG-CSG policies and standards to ensure that credentialing operations are in compliance.
  • Working with applicants and ARNG-CSG staff to support and enhance credentialing functions.
  • Completing verifications and ensuring that the organization and staff are in accordance with ARNG-CSG directives and industry trends and standard credentialing procedures. 
  • Compiling all documents and building credential review files for review by the Centralized Credentials Privileging Board and documenting results. 
  • Generating and mailing notification letters of credentialing results to applicants and/or responding to questions from applicants regarding status of credentialing. 
  • Entering data in the CCQAS as directed.
Minimum Requirements:
  • Bachelor's Degree in a Healthcare, Quality Assurance, or related field. An equivalent combination of education and experience may be considered in lieu of the degree.
  • 5 years of experience with medical credentialing.
  • Good communication and interpersonal skills.
  • Organization skills and ability to be detail-oriented and accurate in work produced.
  • Skills with MS Office, i.e. Word, Excel, and/or PowerPoint.
  • US Citizenship is required. Candidate selected must be able to successfully pass a client background investigation.
Additional Desired Qualifications:
  • Experience in the DOD credentials process.
  • Experience with CCQAS.
  • Leadership experience/ability/aptitude.
  • Certification from National Association of Medical Staff Services (NAMSS) as a Certified Provider Credentialing Specialist (CPCS).
 
Planned Systems International provides our customers with value-added management consulting and information technology services that consistently deliver success, and we are recognized as a world-class provider of innovative solutions that benefit mankind. From Systems Lifecycle Support and Healthcare IT Solutions to Network and Desktop Solutions and e-Business, PSI is focused on making our clients’ businesses run smoother and better. With a highly trained technical staff, we apply state-of-the-art information technologies, the industry's most advanced methodologies, and broad-based support services to clients in U.S. Government agencies and the commercial sector.
PSI is an Equal Opportunity Employer.
All qualified candidates are encouraged to apply, including:
Minorities, Women, Individuals with Disabilities, and Protected Veterans.

NOTE TO JOB SERVICE: VEVRAA Federal Contractor requesting priority referrals of Protected Veterans.