Remote Credentialing Coordinator

Visa Hunt; United States; On-site; USD 29,000 - 35,000; Full time

Job summary

CareOregon is seeking a Credentialing Assistant to provide high quality support for credentialing functions within the health plan. You will help with records management, document handling, and customer service, collaborating with the Credentialing Specialist and Supervisor to ensure applications and notifications meet regulatory guidelines.

This role focuses on maintaining confidential records, entering provider information, and supporting audits and reports.

Qualifications

• Minimum 1 year experience in health plan credentialing, medical office, high-production word processing, or work requiring regular use of databases such as Access.
• Familiarity with SharePoint and medical terminology is preferred.
• Strong knowledge of quality assurance and/or compliance is beneficial.

Responsibilities

• Maintain records according to protocol.
• Keep records retrievable to support regulatory requirements.
• Retrieve records for reviews and audits.
• Coordinate and communicate with records management.
• Maintain confidential and time-sensitive material.
• Review credentialing applications and verify requirements to start the process.
• Enter provider information in databases ensuring accuracy.
• Communicate with other departments to align with workflows.
• Communicate with providers about applications by phone and written correspondence.
• Maintain records of applications and credentialing approvals.
• Conduct quality audits of credentialing files.
• Run reports to support the Credentialing team.
• Assist in verification with external sources (e.g., Oregon Board of Medical Examiners).
• Assist in audit preparation for internal/external entities.
• Perform annual and ongoing document reviews.
• Create job aids as needed.

Skills

Records management

Regulatory compliance

Data entry

Customer service

Confidentiality

Audit support

Documentation

Access

SharePoint

Tools

Access

SharePoint

Job description

CareOregon is seeking a Credentialing Assistant to provide high quality support for credentialing functions within the health plan. You will help with records management, document handling, and customer service, collaborating with the Credentialing Specialist and Supervisor to ensure applications and notifications meet regulatory guidelines.

This role focuses on maintaining confidential records, entering provider information, and supporting audits and reports.