Clinical Credentialing Specialist

STGi is currently seeking a qualified Clinical Credentialing Specialist to provide corporate contract support on assigned contracts/projects.

Candidate must be able to work on site in Arlington, VA 1-2 days per week.

Job Description:

Responsibilities include but not limited to:

• Establishes excellent rapport with STGi’s Program Managers, recruiters, and off-site employees/candidates.

• Successfully manages all activities associated with government credentialing and re-credentialing, (as required by the contract) of healthcare providers.

Provides instruction in a timely manner, to ensure all information is returned as promptly as possible and forwarded to the customer, timely and accurately as required by the contract.

• Ensures all Primary Source Verifications (PSV) are completed timely, accurately, entered into the database and completed within the corporate goals set.

• Provides weekly Status Reports on candidates credentialing onboard process.

• Follows all Standard Operating Policies (SOP) in a professional timely manner, providing functional expertise on an ongoing basis.

• Provides administrative logs, when appropriate, ensuring correct credentialing forms are sent to the candidate/employee.

• Ensures all submissions are noted within Cactus and all documents have the integrity of the company’s data which follows HIPAA regulations of privacy.

• Performs other duties as assigned.

Required Skills:

Proven high sense of urgency and demonstrated ability to exceed expectations.

• Analytical Reasoning, Critical Thinking, Problem Solving and Independent Decision Making.

• Proficient in MS Office, MS Excel, MS PowerPoint

• Excellent written and oral communication skills

Required Experience and education:

• 1 - 3 years of functional expertise in clinical credentialing.

• Government credentialing experience.

• Functional knowledge of Cactus

• Functional expertise including knowledge of credentialing accreditation bodies, NCQA, JCAHO and all databases utilized to scan for PSV, e.g. NPDB, etc.

• Associate’s degree required

• Bachelor’s degree (BA, BS, etc.) is a plus.

DISCLAIMER
The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.

STGi is a workforce solutions company providing comprehensive healthcare delivery, Head Start and management consulting services and human capital solutions help our clients. Our services and solutions help our clients sustain and enhance their operations to better accomplish their mission.

STGi offers a competitive benefits package which includes Medical, Dental, Vision, 401k with company match and a generous PTO policy.

STGi is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class.

Medical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical Service Corps – 67G, 67J Medical CMF – 68A, 68B, 68E, 68F, 68G, 68J, 68Q, 68R, 68S, 68T, 68W, 68X, 68Y

Required Skills:

Proven high sense of urgency and demonstrated ability to exceed expectations.

• Analytical Reasoning, Critical Thinking, Problem Solving and Independent Decision Making.

• Proficient in MS Office, MS Excel, MS PowerPoint

• Excellent written and oral communication skills