Health System Specialist
Found in: beBee jobs US - 2 weeks ago
The incumbent is assigned to the Medical Staff Office (Clinical Staff Affairs), which is aligned 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 and privileging (C&P) operations. The C&P Specialist is aligned to and supervised by the C&P Manager/Section Chief.
Duties
- Keeps leadership and administrative staff informed of program changes, new regulatory requirements, and policies and procedures.
- Assists in drafting local credentialing processes and Medical Staff Bylaws in compliance with all applicable regulations.
- Maintains confidentiality of information in accordance with the Privacy Act.
- Provides guidance and instruction to hospital staff in completing the required documentation of establishing clinical privileges for Licensed Independent Providers.
- Responsible for researching reference information, collecting relevant data and making informed decisions based on analysis of critical information.
- Develops and provides routine and special reports as requested.
- Enters data into an electronic credentialing (VetPro) computer system accurately and ensures all time-sensitive suspense dates are met to complete LIP and Non LIP Credentialing assignments.
- Investigates all red flags and related discrepancies to determine the accuracy of documentation.
- Receives, reviews and analyzes reports detecting problem areas requiring further investigation.
- Assures application packages and other documents meet technical requirements per specialty of provider and assures application folder and database account, including the purchasing of primary source verifications through the purchase card/fiscal operating procedures.
- Provides quality control checks on data. Conducts audits of various credentialing documents such as FPPE, OPPE, Provider Exit Review forms, and participates in the annual self assessment and other regulatory reviews.
- Prepares agendas for meetings and ensures those involved are notified of expectations, including Executive Committee of the Medical Staff.
- Provides technical assistance and training to providers, staff and management.
- Advises and consults on credentialing and clinical privileging for the organization. Serves as the SME for the field of credentials and clinical privileging.
Work Schedule: Monday to Friday 8:00 - 4:30pm. Telework Ad-hoc
Position Description Title/PD#: Health System Specialist - Credentialing and Privileging Specialist - Chief of Staff Office/PD99876-A
Permanent Change of Station (PCS): Approved
Physical Requirements: The work is mostly sedentary. Occasionally, light physical effort may be required, such
as that involved with walking, stair climbing, carrying of light office items, and pushing a cart of files or boxes.
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