Planned Systems International ยท 20 hours ago
Credentialing Training Coordinator
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Responsibilities
Managing the verification process for all healthcare professionals (physicians, dentists, nursing, allied health).
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.
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 emailing notification letters of credentialing results to applicants and/or responding to questions from applicants regarding status of credentialing.
Data entry into CCQAS as the official system of record.
Qualification
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Required
Five plus years of experience in medical credentialing to include overall knowledge of the credentialing and privileging process, what are the required credentials for health care professionals, and the appropriate sources used to complete PSV and databank queries.
Additionally, familiar with or ability to utilize all applicable policies, guidelines, regulations for the DoD credentialing process.
Three plus years of credentialing experience with the DoD utilizing CCQAS/ JCCQAS.
Two plus years of training experience to include classroom, webinars, and self-pace on-line.
Experience shall include instruction, support, and tracking/follow-up.
Must have ability to interface with all levels of military medical staff.
Excellent verbal and written communication skills, including excellent customer relationship skill sets.
Skills with use of MS Office, i.e. Word, Excel, and PowerPoint.
Organization skills and ability to be detail-oriented and accurate in work produced.
Preferred
Certification from National Association of Medical Staff Services (NAMSS) as a Certified Provider Credentialing Specialist (CPCS)
Bachelor's Degree in Healthcare, or related field. An equivalent combination of education, certification, and relevant experience may be considered.
Experience in Quality Assurance preferred.
Experience in the DOD credentials process preferred.
Leadership experience/ability/aptitude.
Benefits
Paid leave
Employer sponsored group medical
Dental
Vision
Short-term and long-term disability
Life insurance
AD&D coverage
Legal services
Identity theft
Accident insurance
Flexible spending account
Health saving account
401(k) retirement plan
Tuition reimbursement programs