Credentialing Specialist AD020

Title:Credentialing Specialist
Location:River House - 211 SE Caruthers St. Portland OR 97212
Schedule:This is an in person positionMonday through Friday 8:00AM - 4:30PM.
Wage Range:$25.00 - $30.00 hourly Non-Exempt

If you are a motivated and dedicatedCredentialing Specialistlooking for an opportunity to contribute to an organization making a positive impact we want to hear from you!

At NARA Northwest youll find a supportive work environment where every team member is valued and respected. Whether youre passionate about healthcare behavioral health education or social services theres a place for you to make a meaningful difference.

Company Mission:

The mission of NARA NW is to provide education physical mental health services and substance abuse treatment that is culturally appropriate to American Indians Alaska Natives and anyone in need.

About the Company:

At NARA NW we deliver services and support to Native American and Alaska Native communities helping individuals lead healthier more fulfilling lives.

With over 450 employees across a variety of programsincluding medical and dental care addiction treatment housing assistance and enrichment initiatives NARA NW offers numerous opportunities for growth and advancement all while making a tangible positive impact on the lives of others.

Position Overview:

The Credentialing Specialist ensures that all medical mental health and alcohol & drug providers at NARA NW are properly credentialed re-credentialed and privileged in compliance with regulatory and health plan requirements. This role is essential in supporting quality patient care by ensuring providers are fully authorized to deliver services. With a focus on organization and attention to detail the Credentialing Specialist plays a vital role in the healthcare team contributing to a mission-driven organization dedicated to community well-being. This position offers the satisfaction of knowing your work directly impacts access to care while being part of a collaborative and supportive environment.

What you will do:

• Works collaboratively and maintains professional boundaries with clients other NARA staff team members and always treat everyone with respect and dignity.
• Compiles and maintains current and accurate data for all providers.
• Conducts thorough background investigation research and primary source verification of all components for the credentialing file.
• Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed.
• Prepares credentials file for presentation and approval.
• Maintains copies of current state licenses DEA certificates malpractice coverage and any other required credentialing documents for all providers
• Maintains knowledge of current health plans and agency requirements for credentialing providers.
• Monitors provider status to ensure that providers are reappointed every 2 years.
• Submits NPDB queries and monitors continuous queries.
• Sets up and maintains provider information in credentialing software (Q-Genda).
• Ensures practice information is current with health plans agencies and other entities.
• Responds to inquiries from other healthcare organizations interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise.
• Maintains confidentiality of provider information.
• Provides credentialing and privileging verifications.
• Complete yearly ongoing training & Medicare training as assigned

We would like to hear from people that have:

• High school diploma or equivalent required.
• Two years of relevant credentialing experience required.
• Must have a working knowledge of credentialing medical terminology and regulatory agency requirements.
• Experience with CMS Medicare enrollment Medicaid CAQH FQHC accreditation and certification requirements.
• Experience with medical credentialing and privileging procedures and standards.
• Proficient use of Microsoft Office (Word Excel Outlook) Adobe Acrobat and internet resources.
• Professional interpersonal verbal and written communication skills
• Demonstrates a high degree of accuracy organization flexibility and ability to multi-task while prioritizing in a collaborative environment.
• Must pass a pre-employment or for cause drug tests.
• Must pass criminal background and DMV checks.
• Certified Provider Credentialing Specialist (CPCS) preferred.
• Q-Genda Experience preferred.
• Experience working within the Native American/Alaska Native community is considered a plus.

Whats in it for you

14 Paid Holidays:New Years Day Martin Luther King Jr. Day Presidents Day Memorial Day Juneteenth Battle of Little Big Horn Independence Day Labor Day Native American Day Indigenous Peoples Day Veterans Day Thanksgiving day after Thanksgiving and December 25^th!

Benefits:Employees working 20 hours or more are eligible for benefits. Benefits are effective from the 1st of the month following the date of hire.

• Affordable Medical Dental and Vision Insurance through Kaiser Permanente
• 14 Paid Holidays (Listed Above)
• 13 Paid Days of Sick Time
• 13 Paid Days of PTO (Vacation accruals increase with years of service to a maximum of 26 days)
• $50000 Life Insurance & AD&D
• Short Term and Long-Term Disability
• Flexible Spending Account
• Health Spending Account
• 401(k) with 4% Match
• Employee Assistance Program
• Inclement Weather Days (Snow Days)
• Public Student Loan Forgiveness -NARA NW is a local 501(c)3 nonprofit FQHC

How to apply:

1. To Quick Apply go toCareers NARA NW ()
2. Look for the position you want to apply for and submit a resume (Required) and cover letter (Optional) thats all!
3. Feel free to contactif you have any questions or would like to know where your application is in the process.