35 Jobs in Arlington, VA
Reef Systems is Hiring a Credentialing Specialist Near Arlington, VA
Job Description:
The purpose of this position is to provide credentialing and privileging services and support to the Army National Guard. The candidate will support in transitioning providers with initial entry credentialing, maintenance of credentialing and privileging, and support the Centralized Credentials Privileging Board’s review of completed credentials and privileging files.
The candidate must be familiar with the credentialing process to insure acceptable performance. The candidate will support the credentialing process of assessing and reviewing the qualifications of the health care practitioner. The process includes review of the licensure, training and education of skilled care providers (e.g. Physicians, Dentists, Family Nurse Practitioners and Physician Assistants) and assures their clinical competency and that they maintain regulatory compliance in their scope of practice.
Job Responsibilities:
- Managing the verification process for all healthcare professionals (physicians, dentists, nursing, allied health).
- Reviewing applications for completion, verification of state licensure / training / education, and collecting information contained in the national physician data bank (NPDB)
- Providing direct supervision to the support staff in administering all aspects of processing applications.
- Compiling all documents and building credential review files for review by the Centralized Credentials Privileging Board and documenting results.
- Generating and mailing notification letters of credentialing results to applicants and/or responding to questions from applicants regarding status of credentialing.
- Entering data in the CCQAS as directed.
- Bachelor's Degree in a Healthcare, Quality Assurance, or related field.
- Minimum of three (3) years of experience, including experience with medical credentialing. An equivalent combination of education and experience may be considered in lieu of the degree.
- Excellent communication and interpersonal skills.
- Experience using MS Office, i.e. Word, Excel, and/or PowerPoint.
- US Citizenship and ability to obtain a favorable National Agency Check with Inquiries (NACI) or Interim Secret clearance.
- Experience in the DOD credentials process is a plus
- Experience with CCQAS is a plus
Arlington, VA 22201
Job Summary
Full Time
IT Outsourcing & Consulting
$45k-56k (estimate)
04/17/2024
06/15/2024
reef-sys.com
CARY, NC
50 - 100
2008
RADWAN ROUZKY
$5M - $10M
IT Outsourcing & Consulting
Related Companies
The job skills required for Credentialing Specialist include Health Care, Quality Assurance, etc. Having related job skills and expertise will give you an advantage when applying to be a Credentialing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Credentialing Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist. You can explore the career advancement for a Credentialing Specialist below and select your interested title to get hiring information.
If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Credentialing Specialist job description and responsibilities
A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.
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A credentialing specialist can have certificates that will prove useful to their field.
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Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.
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Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.
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Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Credentialing Specialist jobs
Credentialing specialists can often find work with a high school diploma or the equivalent.
01/25/2022: Kingsport, TN
Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.
03/01/2022: Parkersburg, WV
While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.
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Make Use Of Advanced Software For Monitoring.
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Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.
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Step 3: View the best colleges and universities for Credentialing Specialist.
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