Job Description

PROFESSIONAL CREDENTIALING SPECIALIST

"We encourage Military Veterans and Military Spouses to apply"

SITE OF SERVICE:

William Beaumont Army Medical Center, Fort Bliss, El Paso, TX

POSITION QUALIFICATION/REQUIREMENTS:

• Education : High School Diploma (preferably Associates degree)
• Experience:  Minimum of 1 year of credentialing experience in a health care setting with prior experience with practitioner enrollment, credentialing or network services experience. (preferably experience with military contracting). With medical and professional credentialing processes, policies and procedures, including delegated credentialing requirements. Experience with Microsoft Office, Excel, internet search tools, and research techniques
• U.S. Citizenship: HCWs performing under this contract shall be U.S. citizens.
• English Language Requirement: The Contractor shall ensure that all HCWs providing services under this contract are able to read, write, and speak English well enough to effectively communicate.
• Physical Capability: HCWs shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services.

CORE DUTIES

• Specific Tasks for Personnel Credentialing Specialist:
• Coordinate and communicate activities with the WBAMC Credentialing Office supervisor.
• Perform primary and secondary source verifications of credentials according to departmental policy.
• Establish and update practitioner's credentials files (PCF) and provider activity files (PAF) on providers going through the process.
• Audits files for completed information upon submission, requests missing data from providers. Ensure accuracy and completeness of files via application of appropriate regulations.
• Ensure that designated HCPs receive and maintain a valid, current license.
• Maintain liaison with educational institutions, state licensing agencies, hospitals, professional associations, specialty boards, and governmental staff offices.
• Ensure provision of a clear, written delineation of clinical privileges to each HCP.
• Notify Network Services Representatives when unable to obtain required documentation
• Prepare files for presentation to the Chief Medical Officer and Credentialing Committee.

HOURS:

The normal hours are from 7:30am to 4:30pm Monday - Friday.

SPECIAL REQUIREMENTS/SKILLS

Must be comfortable in a fast-paced, dynamic environment.  Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects.  Flexible and able to work with various personalities.  Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.

LUKE is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration from employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age or any other characteristic protected by law. \

Links:

To learn more about LUKE, please visit our website at:

Job Tags

Similar Jobs