Medical Credentialing Clerk, Jacksonville, FL

Medical Credentialing Support Technician, Jacksonville FL

A DOD Security Clearance Is Required To Fill This Position

Skills & Abilities:

• Must be able to organize work, respond to crisis situations, use judgment in the decision-making process, interface with all facilities to which U.S. Navy Reserves, Navy Recruiting Command supplies healthcare providers and cooperate with military and civilian members of the staff.
• Knowledge of collecting credentials outlined in DHA and Navy Medicine policies to transmit to the end user the C&P information electronically for healthcare providers required to possess a license, certification, or registration.
• Experience creating or updating the existing (if record has previously been established) electronic-Provider Credentials Files (e-PCFs) in CCQAS or in the designated portal or database within 1-2 business days or current required timeline.
• Familiar with performing NPDB Queries and other verification requests using the BUMED procedures and monitor data obtained from query and report all negative findings to designated CCPD leadership.
• Experience providing credentialing support to Centralized Credentials and Privileging Directorate (CCPD) by gathering specific required credentials information for healthcare providers, performing Primary Source Verification (PSV) of appropriate credentials and conducting National Practitioner Databank (NPDB) databank queries and sanction checks and entering all data into the credentialing system currently known as the Centralized Credentials Quality Assurance (CCQAS).
• A minimum of one-year experience being able to determine the validity of certification and/or licensure requirements and levels at which they are conferred/attained for various medical and dental clinical support specialties.
• Experience with establishing credentials review and privileging processes.
• Experience with pertinent internal and external requirements for credentials and privileges (DoD, BUMED and Fleet directives).

Experience:

• Must have a minimum of one year direct experience as a Medical Records or Credentialing Specialist Assistant

Education:

• High School Diploma (minimum)
• Associates degree (preferred)

Benefits:

• Two Week Vacation
• Paid Medical/Dental/Vision
• 401k
• Paid Federal Holidays