USAJOBS · 4 hours ago
Program Support Assistant (Credentialing Specialist)
San Diego, California, USA
Full-time
Onsite
Entry, Mid Level
$52K/yr - $75K/yr
1+ years expUSAJOBS is seeking a Program Support Assistant - Credentialing Specialist responsible for providing administrative and technical direction and support to the credentialing operations within the Credentialing & Privileging Office under the Chief of Staff. The role involves collecting relevant data and ensuring qualified healthcare professionals provide appropriate care in appropriate settings.
ConsultingGovernmentHuman ResourcesInformation TechnologyInternetStaffing Agency
No H1B
U.S. Citizen Only
Responsibilities
Monitoring, for compliance and timely update, the expiration of time-limited credentials
Serving as subject matter expert (SME) in the field of credentialing
Receiving and reviews VetPro reports detecting problem areas requiring further investigation
Managing provider applications (initial) for Non-LIPs credentialing within the VAMC
Assuring application packages and other documents meet technical requirements per specialty of provider and assures application folder and database account (VetPro or other internal databases and spreadsheets) meet technical requirements
Determining processes for coordination of incoming data and documents from a variety of sources
Analyzing and managing issues related to documents that do not meet expected requirements, regulations or guidelines such as adverse actions against licensures, certifications, and NPDB) CQ reports
Conducting final appointment into the VetPro database, after thoroughly researching, analyzing and validating all data, information, documents and signature authorities
Developing and providing routine and special reports as requested by the C&P manager/Analyst
Possessing a credit card and responsible for maintaining records, reconciling monthly charge statements and verifying legitimacy of requests for NPDB Single and CQ enrollments/ renewals, licensure verification (if applicable), National Student Clearing House, Work Number and certifications (if applicable)
Reconciling transactions and resolving discrepancies with Fiscal Service
Performing other credentialing duties as assigned
Qualification
Required
You must be a U.S. Citizen to apply for this job
Selective Service Registration is required for males born after 12/31/1959
Subject to background/security investigation
Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)
Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement
For a GS-06 position you must have served 52 weeks at the GS-05
For a GS-07 position you must have served 52 weeks at the GS-06
One year of specialized experience (equivalent to the GS-05 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position
Ability to manage multiple projects and priorities and meet deadlines
Attention to detail is required to analyze applications, documents, files and other material pertaining to the credentialing program
Skill in using software applications such as word processing and data bases and internet database applications for data entry, file maintenance and data retrieval
Ability to communicate in writing to prepare emails, letters, and reports
Knowledge of medical terminology to assure competence/appropriateness of credentials requested
Knowledge of the contacts required for verification of information in health care provider files
Ability to communicate orally technical information to a diverse group of individuals with varying levels of understanding
Comprehensive knowledge of VetPro policies, including but not limited to, VetPro Data Integrity, VAMC level access control, mandatory annual VetPro security and confidentiality training, and mandatory annual privacy act training
Considerable working knowledge and understanding of accreditation standards and principles, provisions and practices of credentialing and regulatory procedures such as TJC and Office of Inspector General/Combined Healthcare Inspection Program (OIG/CHIP)
Comprehensive knowledge of complex pertinent laws, regulations, policies and precedents, VHA Handbooks, Directives, Memos, and Notices, and local medical center procedures related to the principles, practices and program goals of the credentialing program
One year of specialized experience (equivalent to the GS-06 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position
Verifying of information in health care provider files
Maintaining confidentiality of information in accordance with the Privacy Act
Provides quality control checks on data
Managing multiple projects and priorities and meets deadlines
Using software applications such as word processing and data bases and internet database applications for data entry, file maintenance and data retrieval
Researching reference materials, regulations, and standards to identify appropriate action necessary to correct problems or issues
There is no educational substitution for the GS-06/07 level
Preferred
Experience in applying credentialing rules, regulations, policies, procedures, and compliance requirements
Skill in analyzing credentialing database systems and processes to achieve data integrity
Skill in utilizing various databases and electronic systems
Experience communicating and working with staff at various managerial levels
Administrative experience within healthcare
Benefits
A career with the U.S. government provides employees with a comprehensive benefits package.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent.
Company
USAJOBS
USAJOBS enables federal job seekers to access job opportunities across hundreds of federal agencies and organizations.
10001+ employees
Funding
Current Stage
Late StageRecent News
Company data provided by crunchbase