What are the responsibilities and job description for the Credentialing Coordinator position at Aya Healthcare?
Aya Healthcare has an opportunity for an experienced Credentialing Coordinator to support an 12-week contract assignment with a dynamic healthcare facility located in Portland, OR!
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.
Assignment Details
- Start: Middle of April
- Schedule: Mon–Fri, 8am–5pm
- Pay: $24-26/hour
- Length: 12 weeks
- Onboarding: 1-2 weeks
- Flu Vaccination is required.
Credentialing Coordinator Summary:
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.
Credentialing Coordinator Duties:
1. Reviews provider credentialing and re-credentialing applications; monitors applications and follows-up as needed.
2. Compiles and maintains current and accurate data for all providers. Audits health plan directories for current and accurate provider information and assists with payer audits
3. Maintains copies of current state licenses, Drug Enforcement Agency (DEA) certificates, malpractice coverage and any other required credentialing documents for all providers.
4. Sets up and maintains provider information in online credentialing databases and system.
5. Tracks license and certification expirations for all providers to ensure timely renewals. Tracks license, Drug Enforcement Agency (DEA) and professional liability expirations for providers.
Credentialing Coordinator Required Experience
- 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 Healthcare is an equal opportunity employer and encourages all to apply!
Pay: $24.00 - $26.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
Application Question(s):
- This is a contract-only position with no guaranteed permanent hire. Are you still interested?
- The pay range for this position is $24-26/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)
License/Certification:
- Certified Provider Credentialing Specialist (Preferred)
Work Location: Hybrid remote in Portland, OR 97239
Salary : $24 - $26