Provider Credentialing Assistant

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Provides administrative and operational support to the Provider Support Services Department, with a primary focus on credentialing, provider data management, and compliance processes. This role manages a broad range of administrative responsibilities to ensure efficient departmental operations.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High school diploma or equivalent.

EXPERIENCE:

1. One (1) year of experience in data entry, project coordination/management, or a related administrative role within an office environment.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

EXPERIENCE:

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Supports the maintenance of accurate and up-to-date credentialing records for physicians and allied health staff.

2. Manages and updates with expirable tracking systems for licenses and other time-sensitive credentials, including monitoring deadlines and facilitating timely renewals.

3. Handles correspondence related to credentialing and expirable and assists with data management.

4. Performs data entry and updates information in credentialling systems and spreadsheets.

5. Conducts routine reviews and audits of credential files.

6. Supports oversight of various tracking spreadsheets such as reappointments, locum tenens provider agreements, medical staff requirements, malpractice documentation, and routine enrollment audits as assigned.

7. Research existing data and credential files to extract relevant information and accurately input into tracking systems and databases.

8. Ability to research and interpret state licensure requirements, including applicable laws, regulations, and renewal timelines, and organize findings into clear reference materials to support ongoing provider compliance and credential maintenance.

9. Prepare reports, meeting materials, and correspondence, ensuring timely and professional communication.

10. Contributes to process improvement initiatives by identifying opportunities to enhance efficiency and streamline workflows.

11. Ability to manage multiple tasks, prioritize workload, and meet deadlines in a fast-paced environment.

12. Maintains confidentiality of sensitive provider information.

13. Ability to identify basic discrepancies in data.

14. Demonstrates willingness to learn credentialing processes and systems.

15. Performs additional duties and special projects as assigned.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Ability to lift, push or pull 10-15 pounds.

2. Ability to sit for long periods of time.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Standard office environment.

SKILLS AND ABILITIES:

1. Ability to type at least 35 wpm.

2. Strong attention to detail with the ability to maintain accurate and organized records.

3. Proficient in Microsoft Office applications, particularly Excel, Word, and Outlook; ability to learn new systems and databases quickly.

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

SMG System Medical Group

Cost Center:

500 SMG Administration

Address:

3040 University Ave

Morgantown

West Virginia

Equal Opportunity Employer

 

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.