What are the responsibilities and job description for the Credentialing Assistant position at CareOregon?
Career Opportunities : Credentialing Assistant (24637) Requisition ID 24637 - Posted 10 / 18 / 2024 - CareOregon - Full Time - Permanent - Portland - Multi Location (2) Job Description Print Preview Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Credentialing Assistant Department Quality and Innovation Support Exemption Status Non-Exempt Requisition # 24637 Direct Reports N / A Manager Title Credentialing Supervisor Pay & Benefits Estimated hiring range $20.10 - $24.57 / hour, 5% bonus target, full benefits. www.careoregon.org / about-us / careers / benefits Posting Notes This role is fully remote but must reside in either Oregon or Washington. Job Summary This position provides high quality support for credentialing functions within the health plan. Core responsibilities include records management, document management, and customer service as defined in CareOregon credentialing policies and procedures. This position works closely with the Credentialing Specialist and Credentialing Supervisor in the credentialing process to ensure all applications, primary source documentation, and notifications meet regulatory guidelines. Essential Responsibilities Maintain records according to protocol. Keep records in a retrievable manner to support regulatory requirements. Retrieve records as needed for activities such as document reviews and audits. Coordinate and communicate with records management. Maintain confidential and time sensitive material. Review provider credentialing applications upon receipt and verify requirements are met to start the credentialing process. Enter provider information in databases, maintaining accuracy and completeness of provider information. Communicate routinely with other departments to ensure records are being processed according to workflows. Communicate with providers regarding applications by telephone and in writing. Maintain records of applications and credentialing approval letters. Maintain a detailed and confidential credentialing system. Conduct quality audits of credentialing files. Run required reports to support Credentialing team. Assist in the verification of healthcare professional's information with external verification sources, such as Oregon Board of Medical Examiners and other sources as needed. Assist Credential Specialists in meeting team goals and deadlines. Assist in audit prep for external and internal entities. Perform annual and ongoing document reviews. Create job aids as needed. Organizational Responsibilities Perform work in alignment with the organization's mission, vision and values. Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. Strive to meet annual business goals in support of the organization's strategic goals. Adhere to the organization's policies, procedures and other relevant compliance needs. Perform other duties as needed. Experience and / or Education Required Minimum 1 year experience in any of the following : Health plan credentialing, medical office, high-production word processing, and / or work requiring regular use of Access or other databases Preferred Experience with SharePoint and knowledge of medical terminology Knowledge, Skills and Abilities Required Knowledge Basic knowledge of quality assurance and / or compliance Knowledge of
Salary : $20 - $25
