Credentialing Coordinator
APR Consulting · Portland, OR · Yesterday
Administrative$25.86/hrContract
APR Consulting, Inc. has been engaged to identify a Credentialing Coordinator Location: 3181 SW Sam Jackson Park Rd Portland, OR 97239 Position: Credentialing Coordinator (Remote but only accepting local candidates) Pay Rate: $25.86/hr Duration: 16 weeks (potential to extend if needed) Expected Shift: Mon-Fri 8am-5pm (2 openings) Required Education: High School Diploma or GED required AND 3 years medical staff credentialing experience in a healthcare or insurance provider setting; OR Associates Degree and 3 years’ experience performing data collection or data analysis using complex database software systems Required competencies: 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 JOB DESCRIPTION: 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. JOB RESPONSIBILITIES: 1. Reviews provider credentialing and re-credentialing applications; monitors applications and follows-up as needed. 2. Compiles and maintains current and accurate data for all providers. Audits health plan directories for current and accurate provider information and assists with payer audits 3. Maintains copies of current state licenses, Drug Enforcement Agency (DEA) certificates, malpractice coverage and any other required credentialing documents for all providers. 4. Sets up and maintains provider information in online credentialing databases and system. 5. Tracks license and certification expirations for all providers to ensure timely renewals. Tracks license, Drug Enforcement Agency (DEA) and professional liability expirations for providers. Our client is the one of the largest Healthcare Staffing Provider in the United States, to be assigned at one of their affiliated hospitals/healthcare facilities. This particular client is requiring that all new hires show proof of vaccination. However, accommodations may be made for those with disabilities or religious reasons who cannot obtain a vaccine. Since 1980 APR Consulting, Inc. has provided professional recruiting and contingent workforce solutions to a diverse mix of clients, industries, and skill sets nationwide. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Don't miss out on this amazing opportunity! If you feel your experience is a match for this position please apply today and join our team. We look forward to working with you!