- Independently manages initial credentialing applications for non-licensed independent providers using knowledge of medical specialties and regulation.
- Assures credentialing packages, database accounts and other documents meet technical requirements per specialty of provider and regulation.
- Determines processes for coordination of incoming credentialing data and documents from a variety of sources. Evaluates all red flag issues, immediately raising to supervisory levels.
- Enters appointments into the VetPro database, after thoroughly researching, analyzing and validating all data, information, documents and signature authorities. Closes VetPro files upon provider separation and manages the Provider Exit Review process.
- Enters credentialing data into numerous computer programs such as VetPro, USA Staffing, VISTA, and utilizes Microsoft Programs including Word, Access, Excel, PowerPoint, along with other quality management tools.
- Safeguards provider confidentiality during the Credentialing process. Maintains confidentiality of information in accordance with the Privacy Act in releasing information, including security and maintenance of operations of program systems.
- Complies with all government purchase card requirements including reconciling transactions and resolving discrepancies with Fiscal Service when serving as a purchase card holder.
- Communicates and treats internal and external customers in a courteous, tactful, and respectful manner. Meets the needs of customers, while supporting VA mission.
- Assists C&P Manager implementing local credentialing procedures; co-facilitates performance improvement initiatives under high reliability organizational processes.
- Composes emails to external customers and other forms of correspondence requiring Clinical Service Chief VetPro approvals and Medical Center Director signatures for credentialing actions.
- Uses significant judgment to inform leadership and appropriate administrative staff of program changes, new regulatory requirements, policies and procedures or concerns pertaining to the credentialing program.
- Provides quality control checks on data, and assists with internal audits and regulatory site visits.
- Receives and reviews VetPro reports detecting variances requiring further investigation. Addresses all VetPro report card variances timely to meet VHA credentialing metrics. Work Schedule: Monday to Friday 8:00am to 4:30pm
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Program Support Assistant - Bay Pines, United States - Veterans Health Administration
Description
Summary
The Program Support Assistant (Credentialing Specialist) is assigned to the Credentialing and Privileging Office, which is under the Chief of Staff at a VA Medical Center (VAMC) and is responsible for providing administrative and technical direction and support to the credentialing operations. The Credentialing Specialist is aligned to and supervised by the Credentialing and Privileging (C&P) Manager.Duties
Virtual: This is not a virtual position.
Position Description/PD#: Program Support Assistant (Credentialing Specialist) / PD99868-A
Relocation/Recruitment Incentives: May be authorized
Critical Skills Incentive (CSI): Not Approve
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required
