Credentialing Analyst (Hybrid) — Compliance & Enrollment

Options For Southern Oregon; Grants Pass (OR); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health benefits

403(b) plan with 6% match

Generous PTO (208 hours annual accrual

11 paid holidays annually

Hybrid work schedule

Job summary

Options for Southern Oregon is seeking a Credentialing Analyst based in Grants Pass, OR. The role focuses on credentialing and primary source verification for agency employees, subcontractors, and other providers, ensuring compliance with regulatory standards.

You will work with CCOs, state agencies, and medical billing to maintain accurate credentialing data, audits, and licensing statuses, with a flexible hybrid schedule and a Monday–Friday workweek.

Qualifications

• Experience in healthcare provider credentialing required; behavioral health credentialing experience preferred.
• Must pass state-required background and DMV checks; valid OR driver's license and satisfactory driving record.

Responsibilities

• Develops and maintains provider enrollment materials and processes.
• Assists providers with completion of credentialing applications and paperwork.
• Initiates and tracks provider enrollment with insurance companies.
• Follows up with insurance companies regarding provider participation status.
• Processes Medicare and Medicaid provider enrollment and third-party credentialing.
• Tracks credentialing/licensing statuses and re-credentialing requirements.
• Coordinates with staff and outside agencies to obtain necessary information.
• Assists licensed staff with registration/certification applications and processes.
• Manages credentialing and re-credentialing for agency staff, subcontractors, and contracted facilities.
• Oversees hospital credentialing of Crisis Specialists.
• Keeps supervisors and departments updated on credentialing progress and compliance.
• Works with Medical Billing and CCOs to ensure credentialing data is accurate for billing.

Job description

Options for Southern Oregon is seeking a Credentialing Analyst based in Grants Pass, OR. The role focuses on credentialing and primary source verification for agency employees, subcontractors, and other providers, ensuring compliance with regulatory standards.

You will work with CCOs, state agencies, and medical billing to maintain accurate credentialing data, audits, and licensing statuses, with a flexible hybrid schedule and a Monday–Friday workweek.