Credentialing Specialist

Job Description

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. MINIMUM QUALIFICATIONS: GS-07: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Performing and coordinating established credentialing processes. Processes credentialing and privileging applications, reviews provider qualifications and required documentation, verify licenses and clinical privileges, maintain confidential records, tracks appointments and expirations, coordinates background clearances, and prepares reports and files for committee review. Providing administrative and technical support to medical staff leadership. OR One full year of graduate level education or superior academic achievement. GS-09: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Independently reviewing and analyzing applications using judgment and exercising responsibility in credentialing and privileging activities. Reviews complex provider applications and qualifications, applies credentialing standards, bylaws, regulations, and accreditation requirements, conducts primary-source verification and investigations, evaluates adverse actions and competency, and prepares recommendations for Medical Executive Committee and Governing Body review. Provides technical guidance and recommendations to medical staff leadership regarding credentialing and privileging requirements. OR Master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D., if related. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP).