Medical Credentialing Specialist - The Vancouver Clinic

The Credentialing Coordinator coordinates, monitors, and maintains the credentialing, recredentialing, and privileging process for all health care providers who provide direct patient care at Vancouver Clinic (VC). 

Schedule: Mon - Fri 8am to 5pm. Will train on site until competencies are met. (WA and OR residents only).

Hiring range: $26.70/hr to $35/hr, actual rate commensurate with experience and professional certification.

Facilitates all aspects of credentialing and privileging at hospitals, ambulatory surgery centers, patient care facilities, and health plans.  Enters and maintains accurate and up-to-date data for each health care provider in credentialing databases of the Vancouver Clinic.  Tracks licenses and certifications of all providers to ensure timely renewals.  Assists in compliance with regulatory agency requirements, including but not limited to, National Committee for Quality Assurance (NCQA), Centers for Medicare & Medicaid Services (CMS), the Joint Commission, and the Accreditation Association for Ambulatory Health Care (AAAHC) in regards to credentialing and privileging and maintains a working knowledge of the laws and regulations of these entities. 

SKILLS AND ABILITIES:

• Strong computer, organizational, communication and customer service skills.
• Ability to take initiative, resolving problems independently.
• Ability to work with shifting priorities and time constraints.
• Ability to build successful customer relationships.
• Must be detail oriented.
• Ability to be organized and meet deadlines for compliance with credentialing governing bodies.
• Ability to work effectively as a productive and supportive team member.

EDUCATION AND EXPERIENCE

• High School Diploma or equivalent required.
• Minimum of three years’ experience in Clinic, Health Plan, or Hospital Medical Staff Office with responsibility for credentialing, hospital appointment and privileging, private and government health plan enrollment, and re-appointment processes.
• Certified Provider Credentialing Specialist or Certified Professional Medical Services Management certification preferred.
• Experience with NCQA and AAAHC guidelines preferred.
• Experience updating/maintaining a credentialing database system. 
• Experience with and awareness of demands facing clinicians and allied health providers in the credentialing and privileging process. 

Pay Range:

The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.

We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE.  Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, with employer contributions after your first year of employment. Benefits-eligible employees accrue PTO and Personal Time based on hours worked and State worked, totaling 120 hours in the first year for full time staff and 200 hours in the first year for full time supervisors and above, increasing in subsequent years. PTO and Personal Time accruals are pro-rated by FTE/hours worked.  Non-benefits eligible employees will accrue Personal Time based on hours worked and State worked. Employees will also enjoy up to six paid holidays per year, depending on schedule. Contact your recruiter for more information.

Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Vancouver Clinic is an alcohol and drug-free workplace.  Offers are contingent on successful completion of background screen and immunization requirements.