Credentialing Assistant

This is a fully remote position, open to applicants in Oregon.

📋 Description

• Maintain and retrieve records in accordance with established protocols to support regulatory compliance, document reviews, and audits.

• Coordinate and communicate effectively with the records management team.

• Handle confidential and time-sensitive materials with care.

• Review provider credentialing applications and verify requirements necessary to initiate the credentialing process.

• Accurately enter and maintain complete provider information within databases.

• Liaise with various departments to ensure that records adhere to established workflows.

• Communicate with providers regarding their applications via telephone and in written form.

• Maintain comprehensive records of applications and credentialing approval letters.

• Oversee the credentialing system to ensure its functionality.

• Conduct quality audits on credentialing files to ensure compliance.

• Generate reports to assist the Credentialing team.

• Support the verification of healthcare professionals' information utilizing external verification sources.

• Assist Credential Specialists in achieving team objectives and meeting deadlines.

• Aid in preparing for both internal and external audits.

• Carry out annual and ongoing document reviews.

• Develop job aids as necessary.

⛳️ Requirements

• A minimum of 1 year of experience in health plan credentialing, a medical office, high-volume word processing, or roles that involve regular use of Access or similar databases.

• Experience with SharePoint is preferred.

• Familiarity with medical terminology is preferred.

• Basic understanding of quality assurance and/or compliance processes.

• Knowledge of or willingness to learn the provider credentialing process.

• Knowledge of or willingness to learn document management systems.

• Ability to retain and manage confidential files securely.

• Excellent organizational skills.

• Proficient in word processing applications.

• Competent in spreadsheet and database management.

• Demonstrated personal initiative and sound judgment.

• Effective written and verbal communication skills.

• Ability to work independently as well as collaboratively.

• Strong attention to detail and accuracy in all tasks.

• Capability to manage multiple tasks simultaneously.

• Ability to handle confidential provider information with discretion.

• Capability to work effectively with diverse individuals and groups.

• Ability to learn, concentrate, comprehend, and evaluate information to determine appropriate actions.

• Ability to accept guidance and feedback while managing stress effectively.

• Ability to see, read, and perform repetitive finger and wrist movements for at least 6 hours daily.

• Capability to hear and speak clearly for a minimum of 3–6 hours each day.

🏝️ Benefits

• Bonus opportunity with a 5% annual SIP target.

• Comprehensive medical, dental, vision, life, AD&D, and disability insurance coverage.

• Health savings account available.

• Flexible spending account(s) provided.

• Lifestyle spending account offered.

• Employee assistance program included.

• Wellness program available to all employees.

• Access to various discounts.

• Supplemental benefits such as 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) for employees.

• Paid State Sick Time provided.

• Paid holidays, volunteer time, jury duty, and bereavement leave, depending on eligibility criteria.

• 401(k) contributions available for non-benefits-eligible employees.

• Veterans are strongly encouraged to apply.