Credentialing Program Assistant

Veterans Health Administration • Buffalo, NY

6d • Onsite

About The Position

The Credentialing Program Assistant is assigned to the Credentialing and Privileging Office under the Chief of Staff at the Western NY VAMC. The office provides administrative and technical direction and support for credentialing operations and supports all VAMC divisions, the credentialing and privileging specialists, and Medical Staff members. The supported Medical Staff includes physicians, dentists, optometrists, psychologists, audiologists, physician extenders, and Non-Licensed Independent Practitioners such as nurses and therapists. The office’s work is critical to accreditation and safe patient care.

The position monitors credential compliance and updates, manages credentialing applications and documentation, reviews VetPro reports, researches and validates credentialing information, and maintains related records and databases. The employee also prepares reports, manages specified credentialing-related transactions and payments, and performs other credentialing duties as assigned. The position is aligned to and supervised by the Credentialing and Privileging Manager.

The work schedule is Monday through Friday, 7:30 a.m. to 4:00 p.m. Ad-hoc telework may be available at the agency’s discretion; this is not a virtual position.

Requirements

• One year of specialized experience equivalent to at least the GS-5 level, such as verifying information in health care provider files; maintaining confidentiality under the Privacy Act; performing data quality checks; managing multiple projects and priorities and meeting deadlines; using word processing, database, and internet database applications for data entry, file maintenance, and retrieval; and researching reference materials, regulations, and standards to identify corrective action.
• Current Federal employees and certain former Federal employees applying for a GS-6 position must meet the time-in-grade requirement of 52 weeks at GS-5 and submit documentation demonstrating eligibility.
• Must be a U.S. Citizen.
• Male applicants born after December 31, 1959, must be registered with Selective Service.
• Must complete the required application steps, questionnaire, and online assessment.
• Selected applicants must complete a background/security investigation and online onboarding.
• Participation in the seasonal influenza vaccination program is required for VA Health Care Personnel.
• Must serve a one-year probationary period.
• No educational substitution is available at this grade level.

Responsibilities

• Monitor compliance and ensure timely updates of time-limited credentials.
• Serve as the subject matter expert in credentialing.
• Receive and review VetPro reports to detect and analyze issues requiring further investigation.
• Manage initial credentialing applications for Non-LIPs within the VAMC.
• Ensure application packages and other documents meet technical requirements for the provider’s specialty, and ensure application folders and database accounts meet technical requirements.
• Determine processes for coordinating incoming data and documents from various sources.
• Analyze and manage issues involving documents that do not meet requirements, regulations, or guidelines, including adverse actions involving licenses or certifications and NPDB CQ reports.
• Complete final appointments in the VetPro database after researching, analyzing, and validating data, information, documents, and signature authorities.
• Develop and provide routine and special reports as requested by the C&P Manager or Analyst.
• Maintain a credit card, maintain records, reconcile monthly charge statements, and verify the legitimacy of requests for NPDB Single and CQ enrollments or renewals, licensure verification when applicable, National Student Clearing House, Work Number, and certifications when applicable.
• Reconcile transactions and resolve discrepancies with Fiscal Service.
• Perform other credentialing duties as assigned.

Benefits

• Federal employees receive access to a comprehensive benefits package for themselves and their families; specific benefits eligibility depends on position type.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed