Oregon Credentialing Coordinator

Job Summary

A company is looking for a Credentialing Coordinator.

Key Responsibilities

• Reviews provider credentialing and re-credentialing applications; monitors applications and follows-up as needed
• Compiles and maintains current and accurate data for all providers, including auditing health plan directories
• Maintains copies of required credentialing documents and tracks license and certification expirations for timely renewals

Required Qualifications

• High School Diploma or GED with 3 years of medical staff credentialing experience, or an Associate's Degree with 3 years of data collection or analysis experience
• Demonstrated software database experience for generating correspondence and activity tracking
• Familiarity with legal, state, TJC, and NCQA guidelines for medical staff compliance
• Certified Provider Credentialing Specialist (CPCS) preferred
• Ability to work within defined parameters and established guidelines