Credentialing Assistant

CareOregon•Portland, OR

1d•$21 - $26•Remote

About The Position

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.

Requirements

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
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
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

Nice To Haves

Experience with SharePoint
Knowledge of medical terminology

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.

Benefits

Competitive pay
Bonus opportunity
Comprehensive benefits package
Medical insurance
Dental insurance
Vision insurance
Life insurance
AD&D insurance
Disability insurance
Health savings account
Flexible spending account(s)
Lifestyle spending account
Employee assistance program
Wellness program
Discounts
Multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.)
Strong retirement plan with employer contributions
PTO accrual
Paid State Sick Time
Paid holidays
Volunteer time
Jury duty
Bereavement leave