Credentialing Specialist

Aptive Resources; Washington (District of Columbia); On-site; USD 50,000 - 60,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401K

Job summary

Aptive seeks a Credentialing Specialist to support the credentialing process, ensuring healthcare professionals meet required qualifications and credentials for employment or affiliation with a healthcare facility. The role emphasizes quality assurance, teamwork, and handling confidential information in alignment with company policy.

This Analyst-level, full-time position in Washington, DC offers a hybrid work schedule, with compensation between $50,000 and $60,000 and benefits including

Qualifications

• Minimum of 5 years experience in credentialing or related field.
• Experience with credentialing/privileging processes and regulatory requirements.
• Ability to manage multiple tasks and prioritize, expediting credentialing.
• Strong customer service and communication skills.
• Ability to work in a multicultural and multilingual environment.
• Flexibility to adapt to changing schedules.
• Proficient English communication (verbal/written).
• Ability to build positive relationships in a multidisciplinary team.
• Proficient in navigating electronic work systems and web research.
• Familiarity with HIPAA/Privacy Act regulations.

Responsibilities

• Perform credentialing, re-credentialing and privileging for healthcare workers and contractors in line with regulatory and IHSC requirements.
• Obtain and verify licenses, certifications, education, training and other credentials; perform ongoing status checks.
• Ensure accuracy and integrity of credentialing files, in either hard copy or electronic form.
• Lead all credentialing activities from initial to ongoing orientation as needed.
• Prepare credentialing packets and provide guidance to ensure timely completion of processes.
• Conduct background checks using NPDB, OIG/GSA, National Sex Offender Registry, and National Student Clearinghouse as required.
• Maintain current credential files for IHSC staff and ensure evidence of certifications and trainings.
• Update credential files to reflect current statuses, including annual licensure and training.
• Produce monthly and ad hoc reports highlighting missing or expiring credentials and file statuses.
• Document all work to ensure traceability and audit readiness.
• Coordinate with vendor recruiting staff to update status and outcomes of research.

Skills

Credentialing process

Multitasking

Communication skills

English proficiency

Teamwork

Adaptability

Relationship building

Electronic records

Research online

HIPAA compliance

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

SharePoint

Job description

Job Summary

Aptive seeks a Credentialing Specialist to support the credentialing process, including verifying licenses, certifications, education, training, and professional references. The candidate will ensure that healthcare professionals meet the necessary qualifications and credentials required for employment or affiliation with a healthcare facility.

Our team values a low-ego, psychologically safe and accountable work environment. We function best with a high degree of quality assurance, teamwork, open communication and collaboration. The role involves handling confidential information, providing a positive employee experience, and supporting smooth operations in alignment with company policy and government requirements.

This is an Analyst-level, full-time position in Washington, DC, with potentiall hybrid work schedule.

The expected compensation at the time of requisition creation, is between $50,000 and $60,000. The position offers with medical, dental and vision coverage. Additional benefits such as 401K, disability insurance and PTO are provided as well.

Primary Responsibilities

• Responsible for all functions related to healthcare worker and other contractor staff credentialing, re-credentialing and privileging in accordance with regulatory/compliance guidelines as well as IHSC requirements.
• Responsible for obtaining and verifying credentials, certifications, state licensures, and otherprofessional credentials as well as maintaining on-going checks to ensure that all credentialsremain current.
• Responsible for the accuracy and integrity of the credential/privileging files, whether in hard copy or electronic form.
• Initiates and follows through on all aspects of the credentialing process, including initial and credentialing, for all healthcare and other staff as needed.
• Prepares and generates healthcare worker and other staff credentialing/privileging packets and provides guidance to ensure timely completion.
• Conduct various background checks from a wide variety of sources as needed to verify the credentials and suitability of candidates, including but not limited to: NPDB, OIG/GSA, National Sex Offender Registry, and the National Student Clearinghouse.
• Maintains new hire as well as on-going credential files for IHSC staff, and makes them accessible as needed. Ensure they contain evidence of all certifications required, including training requirements.
• Responsible for updating and maintaining the currency of all credential files. Verify that annual or other training/licensure is completed on a timely basis, and that credential files are updated to reflect the current status of all staff
• Produce monthly and ad hoc reports to identify any missing data or credentials, any credentials/certifications that are lapsing, and the status of employees’ credential files
• Verify/validate employment experience, education, licensure, residency and other training, specialty board certification or current eligibility, and any other information from a resume, curriculum vitae, etc. as needed.
• Document all work performed to ensure that all information is properly recorded and tracked
• Works closely with vendor recruiting staff as needed to provide updates on the status of activities and notify them of the outcome of research.

Minimum Qualifications

• A minimum of 5 years expereince
• Knowledge of the credentialing and privileging process, requirements and scope of practice.
• Ability to manage multiple tasks, to prioritize needs and expedite credentialing upon request.
• Strong communication skills with a focus on customer service.
• Ability to work in a multi-cultural and multi-lingual environment.
• Ability to adapt to sudden changes in schedules and flexibility in work requirements.
• Ability to communicate proficiently in English (verbal and written) in order to develop positive rapport with co-workers and other stakeholders.
• Ability to establish and maintain positive working relationships in a multidisciplinary environment.
• Ability to navigate in an electronic work environment including web based research, training and communications.
• Knowledge of, and moderate proficiency in, common Microsoft Office programs, specifically Microsoft Word, Excel, Outlook and SharePoint.
• Knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as Personally Identifiable Information (PII)

About Aptive

Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Based in Alexandria, Virginia, we support more than a dozen agencies including Veterans Affairs, Transportation, Defense, Homeland Security and the National Science Foundation.

We specialize in applying technology, creativity and human-centered services to optimize mission delivery and improve experiences for millions of people who count on government services every day.

Founded: 2012Employees: 300+ nationwide

EEO Statement

Aptive is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, national origin, religion, creed, sex, sexual orientation, gender identity, marital status, parental status, veteran status, age, disability, or any other protected class.

Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply.