Medical Credentialing Coordinator

About the role

Vancouver Clinic is seeking a Credentialing Coordinator to support the credentialing, recredentialing, and privileging process for our health care providers. This position plays an important role in maintaining compliance with complex regulatory standards, payer requirements, and health care compliance processes, including NCQA, CMS, The Joint Commission, and AAAHC standards.

Responsibilities

• Maintain accurate and compliant provider files
• Manage credentialing, recredentialing, and privileging processes
• Partner with hospitals, surgery centers, health plans, and internal teams
• Support compliance with regulatory standards and payer requirements
• Work off-site with the requirement to live in the local Vancouver, WA or Portland, OR area and have a secure home network

Requirements

• High School Diploma or equivalent required; college coursework preferred
• 3+ years of credentialing experience in a clinic system, hospital, or health plan setting with responsibility for credentialing, hospital appointment and privileging, private and government health plan enrollment
• Experience with NCQA and AAAHC guidelines
• Strong organizational, communication, and customer service skills
• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred

Qualifications

• Residency in Washington or Oregon required
• Hybrid position requiring availability to come into the office as needed
• Location: Off-site work must live in Portland, Oregon or Vancouver, Washington area (must be able to attend once a month training on site)
• Schedule: Monday - Friday 7:00am to 4:00pm
• Hiring range generally between $28.02/hour to $33.58/hour, and placement in the range depends on an evaluation of experience

Skills

• Strong attention to detail
• Excellent organization
• Ability to manage highly accurate, audit-ready provider files

Benefits

The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job. We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic provides care across a wide range of medical decisions. This includes care and opinions on vaccinations, reproductive health, end-of-life decision-making, and gender affirming treatment. The ability to work, with or without reasonable accommodation, with a diverse population of patients and colleagues seeking or considering care in all areas is an essential function of all positions at the Clinic.

Pay

Pay Range: $27.47 - $38.46

Contact

Contact your Recruiter for full information.

About Vancouver Clinic

Vancouver Clinic is an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time. Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of background screen and immunization requirements.