Credentialing Specialist

About GW MFA

MFA physicians provide comprehensive patient care, offering one practice for the whole person with 52 medical and surgical specialties. As members of the GW School of Medicine and Health Sciences faculty, MFA providers are teachers and mentors for medical students, residents, fellows, and researchers preserving the rich tradition of academics, research, and healing. In addition to maintaining a closely integrated alliance with The George Washington University and The George Washington University Hospital (GWUH) which is separately owned and operated by Universal Health Services (UHS), the GW MFA has active referring relationships with 12 area hospitals.

The GW MFA’s leading healthcare presence in the DC metro region is complemented by a network of community-based practices in DC, Maryland, and Virginia. Given its geographic location in central NW Washington, DC, and proximity to more than 175 resident embassies, the MFA continues to evolve its international clinical outreach.

Essential Duties and Responsibilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other related duties may be assigned.

• Supports a departmental intake process for new hires and re-credentialing providers in conjunction with the Credentialing Team and Manager.
• Maintains and updates a weekly tracker and shares with key MFA contacts and manager to facilitate timely submission of requests and updates
• Works with Credentialing Specialists and Manager to log and review Provider Transmittal Form for tracking and form accuracy purposes
• Assess statutes of MDApp and CAQH submissions and alerts management and clinic personnel as to gaps in process and/or responsiveness
• Acts as liaison between departments and the Credentialing Specialist to credentialing activities and to remove timeline barriers.
• Performs meeting logistics, including inviting meeting participants, creating agendas, securing rooms, taking notes, and tracking action items for team meetings and follow-up.
• Communicates effectively to internal management, clients, and staff (all levels), including accurate and timely communications.
• Works effectively with Credentialing System and queries provider profiles, run reporting, and garners accurate credentialing information and data
• May perform basic credentialing services, such as working with a credentialing software system and running Certifax, and uploading materials

Minimum Qualifications

Education

• A high school degree and/or an equivalent combination of education and experience.

Experience

• A minimum of 1 year of relevant experience in healthcare and understanding of medical terminology and systems.
• Professional proficiency in Microsoft Office applications (Excel, Word, PowerPoint, etc.)
• Familiarity with navigating and reporting in MDStaff.

Physical Requirements 

• Walk, sit, stand, bench, and reach above the shoulder frequently in an office setting.
• Must be able to occasionally lift or carry and frequently push or pull up to 20 lbs. as part of the role
• Requires manual dexterity to operate a computer keyboard, calculator, copier machine, and other equipment.