Top 3 credentialing coordinator Jobs in portland or

Credentialing Coordinator
Aya Healthcare —Portland, OR
- $22 - $25 an hour
- Contract
- Background check
- Mid-level
- 3 years
- Health insurance
- Dental insurance
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2d

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Credentialing Coordinator

Aya Healthcare -
Portland, OR

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Job Details

Contract
$22 - $25 an hour
2 days ago

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance
Life insurance

Qualifications

TJC
Database systems
Provider database maintenance for medical credentialing
Regulatory compliance
Regulatory reporting
Certified Provider Credentialing Specialist
State healthcare regulations
High school diploma or GED
Database management
Data management
NCQA standards
Centers for Medicare and Medicaid Services (CMS)
Compliance documentation
Medical credentialing
Application support
Data collection
Hospital regulatory compliance
Hospital experience

Full Job Description

Aya Healthcare has an opportunity for an experienced Credentialing Coordinator to support an 7-week contract assignment with a healthcare facility located in Portland, OR!

Aya Offers:

A robust team to support you every step of the way to ensure you start on time, have accurate payroll and an exceptional experience.
A credentialing specialist to streamline the entire compliance process.
Premium medical, dental, vision and life insurance beginning day one of your assignment.

Assignment Details

Start: Mid to Late June
Schedule: Mon–Fri, 6am to 4pm
Pay: $22-25/hour
Length: 7weeks
Onboarding: 1-2 weeks
Flu Vaccination is required.

Summary of Credentialing Coordinator:

Assumes responsibility for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care. Ensures providers are credentialed, appointed, and privileged with delegating health plans. Maintains up-to-date data for each provider in credentialing database and online systems; ensure timely renewal of licenses and certifications. Works on routine assignments within defined parameters, established guidelines and precedents.

Duties of Credentialing Coordinator:

Review and process applications for providers who are joining or renewing their credentials, following established policies and ensuring all requirements and standards are met.
Apply knowledge of state and federal regulations, as well as organizational and accreditation requirements (including DNV, TJC, and NCQA), to ensure all applications are compliant.
Identify, investigate, and resolve discrepancies, negative findings, or missing information within applications and verification results, ensuring accuracy before processing.
Communicate regularly with internal departments and external contacts to facilitate timely completion of credentialing applications.
Maintain organized, accurate, and confidential credentialing files for each provider, including sensitive peer review information.
Follow up on incomplete applications, obtain required documentation, and complete primary source verifications and database searches, including license verifications, OIG, Opt-Out, and NPDB checks.
Monitor application progress, track outstanding requirements, and obtain necessary approvals to ensure provider records are complete, accurate, and current before final review.
Manage and update credentialing data within internal systems, including new applications, reappointments, privilege modifications, and status changes.
Document all credentialing activities and maintain accurate records throughout the credentialing lifecycle, from application initiation through final completion.

Requirements for Credentialing Coordinator:

High School Diploma or GED required
3+ years medical staff credentialing experience in a healthcare or insurance provider setting
Demonstrated software database experience (for efficient generation of letters and other correspondence, activity tracking and report production).
Familiarity with legal, state, TJC and NCQA guidelines in assuring medical staff compliance with regulatory agencies.
Certified Provider Credentialing Specialist (CPCS) preferred

Aya Healthcare is an equal opportunity employer and encourages all to apply!

Pay: $22.00 - $25.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Vision insurance

Application Question(s):

This is a contract-only position with no guaranteed permanent hire. Are you still interested?
The pay range for this position is $22-25/hour (max). Are you still interested?

Education:

High school or equivalent (Required)

Experience:

medical staff credentialing: 3 years (Required)
Database management: 3 years (Required)
Regulatory reporting: 3 years (Required)
Hospital: 3 years (Required)
Application support: 1 year (Required)

License/Certification:

Certified Provider Credentialing Specialist (Preferred)

Location:

Portland, OR 97239 (Required)

Ability to Commute:

Portland, OR 97239 (Required)

Work Location: In person

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