Credentialing Coordinator

Aya Healthcare has an opportunity for an experienced Credentialing Coordinator to support an 16-week contract with a facility located in Portland, OR!

Assignment Details

• Start: Immediately upon onboarding completion.
• Schedule: Mon–Fri, 8am to 5pm
• Pay: $25-28/hour
• Length: 16 weeks (can be extending longer, depending on future needs of the dept.)
• Onboarding: 1-2 weeks

Summary of Credentialing Coordinator:

Assumes responsibility for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care. Ensures providers are credentialed, appointed, and privileged with delegating health plans. Maintains up-to-date data for each provider in credentialing database and online systems; ensure timely renewal of licenses and certifications. Works on routine assignments within defined parameters, established guidelines and precedents.

Duties of Credentialing Coordinator:

• Review and process applications for providers who are joining or renewing their credentials, following established policies and ensuring all requirements and standards are met.
• Apply knowledge of state and federal regulations, as well as organizational and accreditation requirements (including DNV, TJC, and NCQA), to ensure all applications are compliant.
• Identify, investigate, and resolve discrepancies, negative findings, or missing information within applications and verification results, ensuring accuracy before processing.
• Communicate regularly with internal departments and external contacts to facilitate timely completion of credentialing applications.
• Maintain organized, accurate, and confidential credentialing files for each provider, including sensitive peer review information.
• Follow up on incomplete applications, obtain required documentation, and complete primary source verifications and database searches, including license verifications, OIG, Opt-Out, and NPDB checks.
• Monitor application progress, track outstanding requirements, and obtain necessary approvals to ensure provider records are complete, accurate, and current before final review.
• Manage and update credentialing data within internal systems, including new applications, reappointments, privilege modifications, and status changes.
• Document all credentialing activities and maintain accurate records throughout the credentialing lifecycle, from application initiation through final completion.

Requirements for Credentialing Coordinator:

• High School Diploma or GED required
• 3 years medical staff credentialing experience in a healthcare or insurance provider setting
• Demonstrated software database experience (for efficient generation of letters and other correspondence, activity tracking and report production).
• Familiarity with legal, state, TJC and NCQA guidelines in assuring medical staff compliance with regulatory agencies.
• Certified Provider Credentialing Specialist (CPCS) preferred

Aya Offers:

• A robust team to support you every step of the way to ensure you start on time, have accurate payroll and an exceptional experience.
• A credentialing specialist to streamline the entire compliance process.
• Premium medical, dental, vision and life insurance beginning day one of your assignment.

Aya Healthcare is an equal opportunity employer and encourages all to apply!

Pay: $25.00 - $28.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance

Application Question(s):

• This is a contract-only position. Are you still interested?
• The pay range for this position is $25-28/hour (max). Are you still interested?

Education:

• High school or equivalent (Required)

Experience:

• medical staff credentialing: 3 years (Required)
• Database management: 3 years (Required)
• Regulatory reporting: 3 years (Required)
• Hospital: 3 years (Required)
• Application support: 1 year (Required)

License/Certification:

• Certified Provider Credentialing Specialist (Preferred)

Location:

• Portland, OR 97239 (Required)

Ability to Commute:

• Portland, OR 97239 (Required)

Work Location: In person

Benefits:

Salary : $25 - $28