Job Information
CareOregon Credentialing Assistant in Portland, Oregon
Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.
Job Title
Credentialing Assistant
Department
Quality and Innovation Support
Exemption Status
Non-Exempt
Requisition #
24637
Direct Reports
N/A
Manager Title
Credentialing Supervisor
Pay & Benefits
Estimated hiring range $20.10 - $24.57/hour, 5% bonus target, full benefits.
www.careoregon.org/about-us/careers/benefits
Posting Notes
This role is fully remote but must reside in either Oregon or Washington.
Job Summary
This position provides high quality support for credentialing functions within the health plan. Core responsibilities include records management, document management, and customer service
as defined in CareOregon credentialing policies and procedures. This position works closely with the Credentialing Specialist and Credentialing Supervisor in the credentialing process to ensure all applications, primary source documentation, and notifications meet regulatory guidelines.
Essential Responsibilities
Maintain records according to protocol.
Keep records in a retrievable manner to support regulatory requirements.
Retrieve records as needed for activities such as document reviews and audits.
Coordinate and communicate with records management.
Maintain confidential and time sensitive material.
Review provider credentialing applications upon receipt and verify requirements are met to start the credentialing process.
Enter provider information in databases, maintaining accuracy and completeness of provider information.
Communicate routinely with other departments to ensure records are being processed according to workflows.
Communicate with providers regarding applications by telephone and in writing.
Maintain records of applications and credentialing approval letters.
Maintain a detailed and confidential credentialing system.
Conduct quality audits of credentialing files.
Run required reports to support Credentialing team.
Assist in the verification of healthcare professional’s information with external verification sources, such as Oregon Board of Medical Examiners and other sources as needed.
Assist Credential Specialists in meeting team goals and deadlines.
Assist in audit prep for external and internal entities.
Perform annual and ongoing document reviews.
Create job aids as needed.
Organizational Responsibilities
Perform work in alignment with the organization’s mission, vision and values.
Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
Strive to meet annual business goals in support of the organization’s strategic goals.
Adhere to the organization’s policies, procedures and other relevant compliance needs.
Perform other duties as needed.
Experience and/or Education
Required
Minimum 1 year experience in any of the following: Health plan credentialing, medical office, high-production word processing, and/ or work requiring regular use of Access or other databases
Preferred
Experience with SharePoint and knowledge of medical terminology
Knowledge, Skills and Abilities Required
Knowledge
Basic knowledge of quality assurance and/or compliance
Knowledge of or ability to learn the provider credentialing process
Knowledge of or ability to learn document management systems
Skills and Abilities
Ability to retain and maintain confidential files
Strong organizational skills
Competency with word processing
Competency with spreadsheet and database management
Demonstrated personal initiative and good judgement
Ability to write and communicate verbally effectively
Ability to work autonomously
Ability to perform strong attention to detail to ensure accuracy
Ability to manage multiple tasks
Ability to work in a confidential manner with Provider information
Ability to work as a member of a team in a collaborative manner
Ability to work effectively with diverse individuals and groups
Ability to learn, focus, understand, and evaluate information and determine appropriate actions
Ability to accept direction and feedback, as well as tolerate and manage stress
Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
Ability to hear and speak clearly for at least 3-6 hours/day
Working Conditions
Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure
Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person
Hazards: May include, but not limited to, physical and ergonomic hazards.Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used.
#LI-Remote
Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.
Veterans are strongly encouraged to apply.
We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.
Visa sponsorship is not available at this time.