Credentialing Specialist
Credentialing Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Cognito Systems a Planned Systems International (PSI) joint venture is seeking a skilled Credentialing Specialist. The purpose of this overall project is to provide centralized credentialing and privileging services and support to the United States Army Reserve (USAR) Command with initial entry credentialing maintenance of credentialing and privileging and support the Centralized Credentials Privileging Boards review of completed credentials and privileging files.
Essential Functions and Job Responsibilities
Individuals 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:
- Implementing USAR policies and standards to ensure that credentialing operations are complying.
- Working with applicants and USAR staff to support and enhance credentialing functions.
- Completing verifications and ensuring that the organization and staff are in accordance with USAR 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.
- Prepare and maintain reports of employees based on accreditation education facility privileges experience membership and licensure ensuring all employee information meets federal state and local guidelines.
- Maintain regular written and verbal correspondence with agencies hospitals malpractice carriers and medical review boards
- Candidate may manage or supervise administrative aspects of the Contractors operations.
Minimum Requirements
- Two years of experience in performing the following functions: conduct administrative and record keeping aspects of the operation of engineering or technical projects / programs; apply knowledge of office management methods and procedures in producing and maintaining documentation correspondence records or directives; work in regard to matters such as project / program progress and status documentation budget finance property accounting or personnel.
- Knowledgeable of requirements for verifying doctors or other types of practitioners credentials processing the information and maintaining information data files.
- Have knowledge and the maintain awareness of current American Accreditation Healthcare Commission standards.
- Proficient with Microsoft Office software to include but not limited to Word PowerPoint Excel Outlook etc.
- Excellent verbal and written communication skills including excellent customer relationship skill sets.
Desired Qualifications
- Associates degree or higher
- Experience in Quality Assurance preferred.
- Experience in the DOD credentials process preferred
Company Benefits
PSI offers fulltime benefits eligible employees a competitive total compensation package that includes paid leave and options for employer sponsored group medical dental vision shortterm and longterm disability life insurance AD&D coverage legal services identity theft and accident insurance. Flexible spending account and health saving account options offer pretax savings for qualified medical dental and vision expenses. The company sponsored 401(k) retirement plan has an employer contribution match that is immediately vested. We invest in the professional growth of our employees through professional courses certifications and tuition reimbursement programs.
EEO Commitment
It is company policy to promote equal employment opportunities. All personnel decisions including but not limited to recruiting hiring training promotion compensation benefits and termination are made without regard to race color religion age sex sexual orientation pregnancy gender identity genetic information national origin citizenship status veteran status protected veteran status disability or any other characteristic protected by applicable federal state or local law.
Reasonable accommodations for applicants and employees with disabilities will be provided. If a reasonable accommodation is needed to participate in the job application or interview process to perform essential job functions and/or to receive other benefits and privileges of employment please contact Human Resources by emailing or by dialing.
Required Experience:
Unclear Seniority
Employment Type
Unclear
