Credentialing Coordinator

Talentify; Portland (OR); Remote; USD 46,000 - 60,000; Full time

Job summary

BizTek People is seeking an experienced Credentialing Coordinator for our client in Portland, OR. The position is remote for local candidates, with Monday–Friday, 8:00 AM–5:00 PM and a 4-month assignment starting October 12.

You will manage provider credentialing, re-credentialing and privileging, ensure regulatory and payer requirements, and maintain credentialing records across internal and external systems. Prior credentialing software experience and strong attention to detail are essential.

Qualifications

• High School Diploma or GED with 3 years credentialing experience.
• Associate's Degree with 3 years data collection/analysis in complex databases.
• Experience with credentialing or database software systems; regulatory familiarity.

Responsibilities

• Review credentialing and re-credentialing applications to ensure timely completion.
• Maintain credentialing databases, compile and audit provider data.
• Keep current documentation for licenses, DEA, malpractice, and other credentials.
• Monitor expiration dates and coordinate renewals.
• Audit health plan directories and support audits.
• Generate correspondence, reports, and tracking in credentialing systems.
• Perform assignments per guidelines, regulations, and internal policies.

Skills

Attention to detail

Organizational skills

Deadline management

Data analysis

Credentialing software experience

Education

High School Diploma or GED

Associate's Degree

Job description

BizTek People is in search for an experienced Credentialing Coordinator for our client in Portland, OR!

Work Arrangement: Remote (local candidates only)

Schedule: Monday-Friday, 8:00 AM - 5:00 PM

Assignment Duration: 4 months

Start Date: October 12th

Position Summary

The Credentialing Coordinator is responsible for managing all aspects of provider credentialing, re-credentialing, and privileging processes for medical professionals delivering patient care. This role ensures providers meet regulatory, legal, and payer requirements and maintains accurate, up-to-date credentialing records across internal and external systems.

Key Responsibilities

• Review provider credentialing and re-credentialing applications; track progress and follow up as needed to ensure timely completion
• Compile, maintain, and audit accurate provider data within credentialing databases and online systems
• Maintain current documentation for all providers, including state licenses, DEA certificates, malpractice coverage, and other required credentials
• Monitor and track license, certification, DEA, and professional liability expiration dates to ensure timely renewals
• Audit health plan directories to ensure accurate provider information and support payer and regulatory audits
• Generate correspondence, reports, and tracking documentation using credentialing software and database systems
• Perform routine assignments in accordance with established guidelines, regulatory requirements, and internal policies

Required Qualifications

• Education & Experience (one of the following):
• High School Diploma or GED and a minimum of 3 years of medical staff credentialing experience in a healthcare or insurance provider setting
• Associate's Degree and 3 years of experience performing data collection or data analysis using complex database systems
• Demonstrated experience working with credentialing or database software systems
• Familiarity with regulatory and compliance standards, including legal, state, TJC, and NCQA requirements
• Strong attention to detail, organizational skills, and ability to manage deadlines independently

Preferred Qualifications

• Certified Provider Credentialing Specialist (CPCS)

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