Credentialing Specialist

Crossroads Talent Solutions•Portsmouth, VA

49d•$24 - $24•Onsite

About The Position

Crossroads Talent Solutions is seeking a detail-oriented Credentialing Specialist to provide credentialing and administrative support to the Defense Health Agency at Naval Medical Center Portsmouth in Portsmouth, Virginia. The Performance Work Statement identifies five full-time positions supporting credentialing services at NMCP. This is a full-time, on-site position; telework is not authorized. The schedule is Monday through Friday, between 7:00 a.m. and 4:00 p.m., for 40 hours per week. The specialist assists with reviewing and verifying the professional qualifications of current and prospective clinical support staff and healthcare providers. The role helps ensure that education, training, licenses, certifications, registrations, and other credentialing documentation are accurate, current, and compliant with applicable DHA, DoD, and NMCP requirements. Duties also include maintaining credentialing records, using healthcare and administrative databases, processing documents, protecting sensitive information, and communicating professionally with providers, personnel, external organizations, and other stakeholders. The position requires eligibility to work in the United States and the ability to obtain and maintain required Government facility and system access, including a Common Access Card (CAC). The employee must successfully complete applicable security investigations and mandatory training, meet applicable occupational health and medical readiness requirements, safeguard sensitive information, and maintain a professional business-casual appearance in accordance with facility requirements.

Requirements

High school diploma or GED.
At least one year of work experience in a healthcare environment, such as a hospital, medical office, or clinic-based setting.
Healthcare work experience must include knowledge of credentialing.
Working understanding of healthcare occupations, standard clinical duties, medical terminology, and the education and qualification requirements associated with healthcare disciplines.
Proficiency with Microsoft Office Suite and basic computer applications.
Basic typing and administrative skills.
Strong customer service skills and professional telephone etiquette.
Strong written and verbal communication skills and the ability to interact effectively with personnel inside and outside the organization.
Eligible to work in the United States.
Able to obtain and maintain required Government facility and system access, including a Common Access Card (CAC).
Successfully complete applicable background and security investigation requirements.
Complete required DHA, DoD, NMCP, information systems, privacy, HIPAA, and other mandatory training.
Meet applicable occupational health, immunization, tuberculosis screening, and other medical readiness requirements for personnel working within the Medical Treatment Facility.
Maintain strict confidentiality and properly safeguard PII, PHI, CUI, credentialing records, and other sensitive Government information.
Able to work on-site at Naval Medical Center Portsmouth; telework is not available.
Maintain a professional, business-casual appearance in accordance with facility requirements.

Responsibilities

Assist with verification and review of professional education, specialized training, licensure, and background information for prospective and current clinical support staff and healthcare providers.
Obtain, review, and organize credentialing documentation to help establish the authenticity, continuity, and appropriateness of providers’ education, training, and qualifications.
Assist in determining whether credentialing documentation and required investigations are complete and adequate before employment or placement at NMCP.
Monitor and track professional licenses, certifications, registrations, DEA credentials, and contingency training for privileged and non-privileged providers.
Research and prepare responses to inquiries from outside institutions and agencies about documented work history, training, or performance of current and former clinical staff and providers.
Maintain accurate, organized credentialing records and help ensure required documentation remains current.
Use healthcare and administrative databases to support credentialing and other administrative requirements.
Protect sensitive information and comply with requirements for handling PII, PHI, and CUI.
Follow NMCP Standard Operating Procedures and applicable DHA, DoD, and facility credentialing policies.
Perform routine administrative functions, including scanning, copying, faxing, printing, typing, and maintaining documentation.
Communicate professionally with healthcare providers, clinical personnel, Government personnel, external organizations, and other stakeholders.
Provide responsive customer service and accurate information to personnel interacting with the credentialing office.
Provide administrative support in accordance with MTF procedures, process documents, and interact professionally with patients, visitors, and hospital personnel.