Credentialing Coordinator

ProvidencePortland, OR
21h

About The Position

Responsible for obtaining and maintaining critical credentialing data necessary for the initial and reappointment process of all practitioners to determine participatory status for the health plan thereby supporting the selection and contracting of practitioners who maintain the clinical skills and judgment necessary to deliver high quality healthcare and service excellence to all members of Providence Health Plans. Responsible for integration of current standards as required by the various regulatory agencies such as Medicare/Medicaid and the National Committee for Quality Assurance. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Requirements

  • Associate's Degree in Health Information Management, or Bachelor’s Degree in Health Information Management, or Certification in Medical Staff Services.
  • -OR- 3 years medical staff/credentialing experience.
  • Demonstrated experience functioning in a team environment with key timeliness and productivity measures.
  • Experience utilizing computer databases.

Nice To Haves

  • Provider credentialing/recredentialing experience in a health plan.

Responsibilities

  • obtaining and maintaining critical credentialing data
  • supporting the selection and contracting of practitioners
  • integration of current standards as required by the various regulatory agencies such as Medicare/Medicaid and the National Committee for Quality Assurance

Benefits

  • Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.
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