Credentialing Coordinator

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πŸ”₯ 1 hour ago

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Logo of St. Charles Health System

St. Charles Health System

1001 - 5000 employees

Founded 1918

πŸ₯ Healthcare

πŸ“š Education

Healthcare β€’ Education

St. Charles Health System is a regional health care system based in Central Oregon that operates multiple hospitals and campuses (including Bend, Redmond, Prineville, and Madras). The organization provides acute and community health servicesβ€”examples in the provided text include a family birthing center, EKG and other clinical care roles, workforce development (paid CNA training in partnership with a local community college), and a patient-centered culture emphasizing caregiver engagement and community ties. The system promotes recruitment and internal career mobility, offers employee benefits, and serves local communities in Central Oregon.

πŸ“‹ Description

β€’ Coordinates the processes for credentialing, privileging, and delegated payer β€’ Verifies and collects necessary documents supporting providers’ eligibility β€’ Interfaces and maintains professional relationships with applicants and medical staff leadership β€’ Creates credentialing reports for review by Medical Staff Credentialing Committees β€’ Maintains provider records for auditing purposes β€’ Ensures compliance with internal and external policies and guidelines

🎯 Requirements

β€’ High school diploma or GED β€’ Minimum of 2 years’ experience in a healthcare setting β€’ Knowledge of Medical Staff Bylaws and Rules and Regulations, The Joint Commission, CMS, and NCQA guidelines, URAC and Oregon State Law β€’ Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) preferred β€’ Basic math skills β€’ Intermediate to advanced proficiency in Microsoft applications (Outlook, Word, Excel, and Access), database management, and document preparation. β€’ Ability to communicate in English

πŸ–οΈ Benefits

β€’ medical β€’ dental β€’ vision β€’ a 403(b) retirement plan β€’ generous Earned Time Off (ETO) program

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