Credentialing Specialist

Overview

• Credentialing Specialist

Founded in 2014, Crossroads Talent Solutions, LLC is a veteran-led SBA 8(a) and Service-Disabled Veteran-Owned Small Business headquartered in Maryland, delivering trusted program management, administrative, and mission support services to federal agencies nationwide. For more than a decade, we have supported critical operations for partners including the U.S. Army, U.S. Air Force, U.S. Navy, U.S. Marine Corps, National Guard, Defense Health Agency (DHA), National Oceanic and Atmospheric Administration (NOAA), Small Business Administration (SBA), U.S. Citizenship and Immigration Services (USCIS), U.S. Attorney’s Office (USAO), and the U.S. Department of Agriculture (USDA). Known for our integrity, transparency, and commitment to excellence, Crossroads has built a solid reputation as a reliable federal partner dedicated to delivering measurable performance and taking care of the people who make each mission possible.

Credentialing Specialist

Client: Defense Health Agency (DHA) – Naval Medical Center Portsmouth

Location: Naval Medical Center Portsmouth (NMCP), Portsmouth, VA

Schedule: Monday–Friday, between 7:00 a.m. and 4:00 p.m.; 40 hours per week

Work Arrangement: On-site

Position Overview

Crossroads Talent Solutions is seeking a detail-oriented Credentialing Specialist to provide credentialing and administrative support to the Defense Health Agency (DHA) at Naval Medical Center Portsmouth (NMCP) in Portsmouth, Virginia. The Performance Work Statement identifies five full-time positions supporting credentialing services at NMCP.

The Credentialing Specialist will assist with reviewing and verifying the professional qualifications of current and prospective clinical support staff and healthcare providers. This position plays an important role in ensuring provider education, training, licenses, certifications, registrations, and other credentialing documentation are accurate, current, and compliant with applicable DHA, DoD, and NMCP requirements.

This is a full-time, on-site position. Telework is not authorized under the PWS.

Key Responsibilities

• Assist with the verification and review of professional education, specialized training, licensure, and background information for prospective and current clinical support staff and healthcare providers.
• Obtain, review, and organize required credentialing documentation to help establish the authenticity, continuity, and appropriateness of a provider's professional education, training, and qualifications.
• Assist in determining whether credentialing documentation and required investigations are complete and adequate before employment or placement at NMCP.
• Monitor and track professional licenses, certifications, registrations, DEA credentials, and contingency training for privileged and non-privileged providers.
• Assist with researching and preparing responses to inquiries from outside institutions and agencies regarding the documented work history, training, or performance of current and former clinical staff and providers.
• Maintain accurate and organized credentialing records and assist with ensuring required documentation remains current.
• Utilize healthcare and administrative databases to support credentialing and other administrative requirements.
• Protect sensitive information and comply with applicable requirements for handling Personally Identifiable Information (PII), Protected Health Information (PHI), and Controlled Unclassified Information (CUI) .
• Follow NMCP Standard Operating Procedures and applicable DHA, DoD, and facility credentialing policies.
• Perform routine administrative functions including scanning, copying, faxing, printing, typing, and maintaining documentation.
• Communicate professionally with healthcare providers, clinical personnel, Government personnel, external organizations, and other stakeholders.
• Provide responsive customer service and accurate information to personnel interacting with the credentialing office.
• High school diploma or GED required.
• Minimum of one year of work experience in a healthcare environment , such as a hospital, medical office, or clinic-based setting.
• Experience must include knowledge of credentialing .
• Working understanding of healthcare occupations, standard clinical duties, medical terminology, and the different education and qualification requirements associated with healthcare disciplines.
• Proficiency with Microsoft Office Suite and basic computer applications.
• Basic typing and administrative skills.
• Strong customer service skills and professional telephone etiquette.
• Strong written and verbal communication skills with the ability to interact effectively with personnel both inside and outside the organization.

The PWS specifically requires administrative support in accordance with MTF procedures, use of databases, document processing, and professional interactions with patients, visitors, and hospital personnel.

Minimum Qualifications

No profession