Credentialing Coordinator II in Corvallis, Oregon at Samaritan Health Services
New
Samaritan Health Services
Corvallis, Oregon, 97330, United States
Posted on
New job! Apply early to increase your chances of getting hired.
Explore Related Opportunities
Medical and Health Services Managers jobs near me in OregonJobs near me in OregonMedical and Health Services Managers jobs
Job Description
-
This is a remote position in which we are able to employ in the following states: Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
-
JOB SUMMARY/PURPOSE
-
Independently manages all activities associated within the initial and re-credentialing application process and/or the provider enrollment process, which may include primary source verification of licensure, certification and credentials for the purpose of employment; hospital privileges and health plan membership; facility credentialing; provider/facility enrollment with payers; and delegation agreement management. Acts as a subject matter expert for Primary Source Verification, Provider Enrollment and Facility Credentialing. Collaborates with Medical Staff and Samaritan Health Plan offices to ensure accuracy and completeness of files and reduce duplication of credentialing activities. Serves as a system expert for management of system wide provider database. Acts as a liaison and mentor for Credentialing Coordinator I employees.
-
-
DEPARTMENT DESCRIPTION
-
The Credentialing Department at Samaritan Health Services credentials new and existing healthcare providers for employment, privileging and participation in Samaritan Health Plans. The credentialing process includes verification, documentation, and approval of a practitioner's credentials and meets the requirements of The Centers for Medicare and Medicaid and our accrediting bodies.
-
-
EXPERIENCE/EDUCATION/QUALIFICATIONS
-
High School diploma or equivalent required. Completion of college coursework preferred.
-
Four (4) years experience in a position of similar responsibility and complexity, including one (1) year experience in credentialing and MSOW applications required.
-
Experience and/or training in theories, concepts, and principles of secretarial science and office management required.
-
Experience and/or training in regulatory compliance including The Joint Commission, DNV, NCQA and CMS as it applies to credentialing standards, required.
-
Experience and/or training in medical staff structure required.
-
Experience and/or training in computer applications including Microsoft Word, Outlook and Excel required.
-
CPCS certification preferred.
-
-
KNOWLEDGE/SKILLS/ABILITIES
-
Computer Literacy - Knowledge of computer software, including Microsoft Office programs and web based applications. Ability to operate applications, enter data, and manipulate and process information.
-
Clerical - Knowledge of theories, concepts, and principles of secretarial science and office management. Ability to perform administrative and clerical procedures.
-
Credentialing - Knowledge of accreditation, NCQA, medical staff standards and state/federal requirements as they relate to credentialing services.
-
Communication – Possess professional verbal and written communication skills for interacting with customers of Credentialing Department.
-
-
PHYSICAL DEMANDS
-
Rarely
(1 - 10% of the time)Occasionally
(11 - 33% of the time)Frequently
(34 - 66% of the time)Continually
(67 – 100% of the time)CLIMB - STAIRS
LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
LIFT (Knee to chest: 24"-54") 0 – 20 Lbs
LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
CARRY 1-handed, 0 - 20 pounds
SQUAT Static (hold >30 sec)
SQUAT Repetitive
BEND FORWARD at waist
KNEEL (on knees)
STAND
WALK – LEVEL SURFACE
REACH - Upward
ROTATE TRUNK Standing
PUSH (0-20 pounds force)
PULL (0-20 pounds force)
SIT
ROTATE TRUNK Sitting
REACH - Forward
CARRY 2-handed, 0 - 20 pounds
MANUAL DEXTERITY Hands/wrists
FINGER DEXTERITY
PINCH Fingers
GRASP Hand/Fist
-
Scan to Apply
Just scan this QR code to apply from your phone.
Job Location
Corvallis, Oregon, 97330, United States
Frequently asked questions about this position
Similar Jobs In Corvallis, Oregon
Health Care Operations Administrator
Caring for Others
Lincoln City, Oregon
Scheduling Coordinator
Samaritan Health Services
Corvallis, Oregon
Endoscopy Clinical Coordinator
Samaritan Health Services
Corvallis, Oregon
Clinic Director
Salud Medical Center
Woodburn, Oregon
Public Health Nurse Program Manager - Health and Human Services
Marion County
Salem, Oregon
Continue to apply
Enter your email to continue. You’ll be redirected to the employer’s application.By clicking Continue, you understand and agree to JobTarget's Terms of Use and Privacy Policy.