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Program Support Assistant (OA) Credentialing Specialist

  • Full Time, onsite
  • Veterans Health Administration
  • Las Vegas, United States of America
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.
Work Schedule: Monday thru Friday 7:00 am - 3:30 pm PST
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)