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Human Services Analyst – Clinical Staff Credentialing Specialist

Human Services Analyst - Clinical Staff Credentialing Specialist

Introduction

Are you seeking a position that is challenging but rewarding? If you have ever wanted to work with people in your community or become an important component of the betterment of other people’s lives, you have come to the right place! Become a member of Prince William County Community Services as a Human Services Analyst – Clinical Staff Credentialing Specialist helping to serve our clients with getting the help they need.   About This Role:   As a Human Services Analyst the primary responsibility will be to oversee the credentialing process for new and existing clinical providers, ensuring all required documentation is collected, verified, and processed in accordance with credentialing policies and regulatory guidelines. Assist with managing the credentialing lifecycle, including initial applications, re-credentialing, and ongoing monitoring. Assist in addressing and resolving all discrepancies or issues related to provider enrollment and credentialing. Facilitate communication with external stakeholders and assist the manager in the onboarding and department orientation of new employees. Maintain up-to-date Credentialling database systems such as CAQH, PECOs, PRSS and Virginia Medicaid MCO’s to ensure accuracy. A secondary responsibility will be to assist in conducting in-person and over the phone interviews with CSB consumers to identify eligibility for benefit programs and facilitate enrollment and renewals. You will complete and submit electronic and/or manual applications for programs such as: Medicaid, General Relief, Subsidized Nutrition Assistance Program, Low-income Subsidy.   Minimum Requirements: 
  • High school diploma or G.E.D. and 5 years of related experience with credentialing clinical staff and Medicaid eligibility in the Commonwealth of Virginia and government assistance programs.
Preferences:
  • Bachelor’s degree
  • Experience credentialing licensed clinical behavioral health staff with CAQH, PECOS, PRSS and Virginia Medicaid MCO’s
  • Medicaid eligibility in the Commonwealth of Virginia and government assistance programs
  • Knowledge of HIPPA and 42 CFR regulations
  • Experience working in a large medical or behavior health facility.
  • Excellent written and oral communication skills.
  • Certified Provider Credentialing Specialist (CPCS)
  • Certified Medical Professional Services Management (CPMSM)
Work Schedule: Monday thru Friday, 8:30 AM to 5 PM. The work location will be at Ferlazzo building at 15941 Donald Curtis Dr, Woodridge VA 22191.   Special Requirements: 
  • Must possess a valid driver’s license and pass DMV record check.
  • Offer of employment is contingent upon the candidate passing a fingerprint based National Criminal History Record Check. Not eligible for employment with barrier crime history https://dbhds.virginia.gov/assets/document-library/BIU/attachment-2rev072017.pdf (Download PDF reader) (Download PDF reader)
  • Child Protective Services Requirements:  Effective 1999, mandated by the Department of Behavioral Health and Developmental Services 12VA35-105-400 rules and Regulations for Licensing Providers by the Department of Behavioral Health and Development Services related to Criminal Registry Checks, a search of the registry of founded complaints of child abuse and neglected maintained by the Department of Social Services. 
Starting Salary Range:  $70,921.50 – $97,968.00 Prince William County Community Services maintains a drug free workplace.    Note: The above position description is intended to represent only the key areas of responsibilities; specific position assignments will vary depending on the business needs of the department.
Click here for the class description.
Prince William County is an Equal Opportunity Employer.  In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer. Our Benefits…
  • Excellent Pay
  • Paid accrued annual and sick leave
  • 11 paid holidays
  • 4 paid personal days
  • Optional, comprehensive health care plans
  • Life Insurance
  • Employee Assistance Program
  • Access to online courses
  • Virginia State Retirement
  • 401a and 457 Retirement Savings Plans
  • Credit Union eligibility
  • Job security
  • Opportunities for career growth, advancement specialization
Prince William County Government full-time positions qualify for Public Service Loan Forgiveness. Click here PSLF for
Contact details

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