Program Support Assistant (OA) Credentialing Specialist
Salary undisclosed
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Duties to include but not limited to the following:
- Responsible for collecting relevant data and the decision-making process to ensure that qualified health care professionals are providing appropriate care in appropriate settings.
- Responsible for internal monitoring for compliance and timely update of expiration of time-limited credentials including, but not limited to, monitoring of licensure, registration, or certification expirations and continuous enrollment in the NPDB continuous query program for licensed providers.
- Serves as subject matter expert (SME) in the field of credentialing.
- Uses significant judgement to inform leadership and appropriate administrative staff of program changes, new regulatory requirements, policies and procedures or issues and concerns pertaining to the credentialing program.
- Conducts final appointment into the VetPro database, after thoroughly researching, analyzing and validating all data, information, documents and signature authorities.
- Develops and provides routine and special reports as requested by the C&P Manager/Analyst. Composes correspondence requiring Clinical Service Chiefs and Medical Center Director signatures for credentialing actions.
- Maintains local VAMC requirement files and records pertaining to the credentialing process.
- Maintains confidentiality of information in accordance with the Privacy Act in releasing information. Manages, administers and assures accuracy, security and maintenance of operations of database systems.
- Credentialing Specialist holds the credit card and is 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).
- Provides quality control checks on data. Completes Mandatory Annual VetPro Security & Confidentiality training and Mandatory Annual Privacy Training.
Virtual: This is not a virtual position.
Position Description/PD#: Program Support Assistant (OA) Credentialing Specialist/PD99868S
Relocation/Recruitment Incentives: Not Authorized
Critical Skills Incentive (CSI): Not Authorized
Permanent Change of Station (PCS): Not Authorized
Starting at $50,036 Per Year (GS 7)
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