Remote Credentialing Specialist for Medical Privileges

OneOncology, LLC; Oregon; Hybrid; USD 48,000 - 70,000; Full time

Job summary

OneOncology is seeking a Credentialing Specialist to manage the privileging and credentialing process for physicians and allied health professionals. You will handle applications, verify information, and ensure adherence to medical staff procedures while maintaining highly confidential credentialing files.

This role is remote with travel flexibility, supporting credentialing activities across provider practices, hospitals, and managed care organizations, using MS Office and web-based tools to

Qualifications

• High school diploma and 2+ years of related experience.
• Bachelor's degree preferred.
• Training experience preferred but not required.
• Industry experience leading credentialing activities in large provider practice is required.
• Certifications preferred but not required.
• Working remote with Travel flexibility as needed.

Responsibilities

• Credentialing and re-credentialing of physicians and allied health professionals.
• Completion, submission and tracking of credentialing applications with all managed care organizations and hospitals.
• Apply and validate hospital privileges.
• Obtain malpractice insurance policy.
• Notification to staff of completion of credentialing for scheduling and billing.
• Maintain and update CAQH online credentialing application for all providers quarterly.
• Database management/provider files.
• Maintain vital provider credentialing information via technology tool and hard copies of documents in provider files.
• Tracking and maintaining all clinical licenses for nursing, pharmacy, and lab personnel.
• Provider continuing education; track continuing education credits for all providers.
• Notify providers of any deficiencies; submit documentation if providers are audited.
• Termination of physician and/or allied health professional.
• Contact all MCO/hospitals/EMR to remove provider who has left practice within 30 days of termination.

Skills

MS Office Suite

Confidential communications

Detail oriented

Organizational skills

Interpersonal skills

Communication skills

Research and problem-solving

Education

High school diploma

Bachelor's degree preferred

Job description

OneOncology is seeking a Credentialing Specialist to manage the privileging and credentialing process for physicians and allied health professionals. You will handle applications, verify information, and ensure adherence to medical staff procedures while maintaining highly confidential credentialing files.

This role is remote with travel flexibility, supporting credentialing activities across provider practices, hospitals, and managed care organizations, using MS Office and web-based tools to