Credentialing Assistant

Job not on LinkedIn

🔥 0 minutes ago

🌲 Oregon – Remote

🌲 Oregon – Remote

💵 $20 - $25 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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CareOregon

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1994

🏥 Healthcare

📦 Logistics

🛡️ Insurance

Healthcare • Logistics • Insurance

CareOregon is a community-focused health plan that provides coordinated physical, behavioral, dental and social-support services to Oregon Health Plan members, serving more than 500,000 people. The organization operates provider and member portals, offers care coordination, telehealth, language and tribal services, community grants and outreach, and programs addressing social determinants of health such as housing, nutrition and transportation.

📋 Description

• Maintain and retrieve records according to protocol to support regulatory requirements, document reviews, and audits • Coordinate and communicate with records management • Maintain confidential and time-sensitive materials • Review provider credentialing applications and verify requirements to begin the credentialing process • Enter and maintain accurate, complete provider information in databases • Communicate with departments to ensure records follow workflows • Communicate with providers about applications by telephone and in writing • Maintain application records and credentialing approval letters • Maintain the credentialing system • Conduct quality audits of credentialing files • Run reports to support the Credentialing team • Assist with verification of healthcare professionals' information using external verification sources • Assist Credential Specialists with team goals and deadlines • Assist with internal and external audit preparation • Perform annual and ongoing document reviews • Create job aids as needed

🎯 Requirements

• Minimum 1 year of experience in health plan credentialing, a medical office, high-production word processing, or work requiring regular use of Access or other databases • Preferred experience with SharePoint • Preferred knowledge of medical terminology • 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 judgment • Effective written and verbal communication • Ability to work autonomously and collaboratively • Strong attention to detail and accuracy • Ability to manage multiple tasks • Ability to work confidentially with provider information • 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 and manage stress • Ability to see, read, and perform repetitive finger and wrist movements for at least 6 hours per day • Ability to hear and speak clearly for at least 3–6 hours per day

🏖️ Benefits

• Bonus opportunity with 5% annual SIP target • Medical, dental, vision, life, AD&D, and disability insurance • Health savings account • Flexible spending account(s) • Lifestyle spending account • Employee assistance program • Wellness program • Discounts • Supplemental benefits including voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, and 529 College Savings • Retirement plan with employer contributions • Paid time off (PTO) • Paid State Sick Time • Paid holidays, volunteer time, jury duty, and bereavement leave, depending on eligibility • 401(k) contributions for non-benefits-eligible employees • Veterans are greatly encouraged to apply