Credentialing Coordinator

Job Summary

This contract position is located in‑office at The Dalles, OR, United States (Columbia Gorge). The day shift is 5 days with 8 hours on site. Responsibilities include coordinating and processing all medical staff applications for appointment/reappointment for assigned areas of responsibility, according to established procedures, coordinating physician initial application appointment process in accordance with Joint Commission standards and medical bylaws, acting as liaison between organization administration and the Medical Staff, and coordinating small programs with limited budget/impact.

• Contract position – Day Shift/5 8's on site at Columbia Gorge.
• Minimum of 3 years of experience in medical staff in an acute care/hospital setting and familiar with Joint Commission standards.
• Must have CPCS/CPMSM.
• Preferably onsite with experience in Oregon standards.
• High School Education/GED or equivalent – Preferred
• Associate’s/Technical Degree or equivalent combination of education/related experience – Preferred
• Five years’ relevant experience – Preferred
• Healthcare industry experience – Preferred
• Commercial healthcare experience – Preferred
• Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) – Required

• Initiates letters of inquiry regarding education, training, personal medical references, staff affiliations, board certifications, out-of-state licensure and relevant information.
• Requests verification from the Medical Board of California for current state licensure.
• Queries the National Practitioner Databank.
• Creates confidential files on new practitioners and obtains copies of state licensure/s and certificates, if applicable.
• Conducts thorough background investigation, research and primary source verification of all components of the application file.
• Performs primary source verification of all necessary elements through letters or faxes, websites, telephone verifications or equivalent sources.
• Follows up on all incomplete or problematic information in a timely and consistent manner.
• Ensures that all reappointments are completed and reviewed by the appropriate credentialing entity before expiration date.
• Tracks license and certification expirations for all providers to ensure timely renewals.
• Assists with conducting an annual review of Medical Staff Bylaws, rules and regulations and all documents pertinent to the medical staff which are maintained in the department.
• Submits sections for revisions to appropriate committees; keeps current with legal issues necessary for implementation of the bylaws.
• Oversees provider information in online credentialing databases and system.
• Performs other job-related duties as assigned.

All associates must receive all required vaccinations as a condition of employment, annually thereafter where applicable. Medical and religious exemptions may apply.