STG International
Clinical Credentialing Specialist
Location: 2900 South Quincy Street, Suite 888, Arlington, Virginia
Position Type: Full-Time/Regular
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.
Responsibilities
Establish excellent rapport with STGi's Program Managers, recruiters, and off‑site employees/candidates.
Successfully manage all activities associated with government credentialing and re‑credentialing, as required by the contract, of healthcare providers.
Provide instruction in a timely manner to ensure all information is returned promptly and forwarded to the customer, timely and accurately as required by the contract.
Ensure all Primary Source Verifications (PSV) are completed timely, accurately, entered into the database and completed within the corporate goals set.
Provide weekly status reports on candidates’ credentialing onboard process.
Follow all Standard Operating Policies (SOP) in a professional, timely manner, providing functional expertise on an ongoing basis.
Provide administrative logs, when appropriate, ensuring correct credentialing forms are sent to the candidate/employee.
Ensure all submissions are noted within Cactus and all documents have the integrity of the company's data which follows HIPAA regulations of privacy.
Perform 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
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 to 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, 401(k) 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.
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Position Type: Full-Time/Regular
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.
Responsibilities
Establish excellent rapport with STGi's Program Managers, recruiters, and off‑site employees/candidates.
Successfully manage all activities associated with government credentialing and re‑credentialing, as required by the contract, of healthcare providers.
Provide instruction in a timely manner to ensure all information is returned promptly and forwarded to the customer, timely and accurately as required by the contract.
Ensure all Primary Source Verifications (PSV) are completed timely, accurately, entered into the database and completed within the corporate goals set.
Provide weekly status reports on candidates’ credentialing onboard process.
Follow all Standard Operating Policies (SOP) in a professional, timely manner, providing functional expertise on an ongoing basis.
Provide administrative logs, when appropriate, ensuring correct credentialing forms are sent to the candidate/employee.
Ensure all submissions are noted within Cactus and all documents have the integrity of the company's data which follows HIPAA regulations of privacy.
Perform 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
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 to 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, 401(k) 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.
#J-18808-Ljbffr