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Clinical Support
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Corporate
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20727 Requisition #

Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God's love through health, wholeness and hope. From Oregon to Oahu, we have a calling to always do more. Now is your chance to apply your passion to our mission.

 

We're looking for someone to join our team as a Health Plan Credentialing Associate (OR) who:

Assumes responsibility for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care. Ensures providers are credentialed, appointed, and privileged with delegating health plans. Maintains up-to-date data for each provider in credentialing database and online systems; ensure timely renewal of licenses and certifications. Works on routine assignments within defined parameters, established guidelines and precedents.

 

Essential Functions:

  • Compiles and maintains current and accurate data for all providers. Reviews provider credentialing and re-credentialing applications; monitors applications and follows-up as needed. Maintains copies of current state licenses, Drug Enforcement Agency (DEA) certificates, malpractice coverage and any other required credentialing documents for all providers.
  • Sets up and maintains provider information in online credentialing databases and system.
  • Tracks license and certification expirations for all providers to ensure timely renewals. Tracks license, Drug Enforcement Agency (DEA) and professional liability expirations for providers.
  • Audits health plan directories for current and accurate provider information.
  • Performs other job-related duties as assigned.

 

You'll be successful with the following qualifications:

 

Education: 

  • High School Education/GED or equivalent: Preferred
  • Associate's / Technical Degree or equivalent combination of education/related experience: Preferred

 

Required Licenses/Certifications: 

  • Certified Provider Credentialing Specialist (CPCS): Preferred

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