Credentialing Specialist - AD020

Title: Credentialing Specialist

Location: River House - 211 SE Caruthers St. Portland, OR 97212

Schedule: This is a hybrid position with 2 days working from home, 3 in office. Monday through Friday, 8:00AM - 4:30PM.

Wage Range: $26.25 - $31.50 hourly, Non-Exempt

If you are a motivated and dedicated Credentialing Specialist looking for an opportunity to contribute to an organization making a positive impact, we want to hear from you!

At NARA Northwest, you'll find a supportive work environment where every team member is valued and respected. Whether you're passionate about healthcare, behavioral health, education, or social services, there's 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 programs-including 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.

What's 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 25th!

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)
• $50,000 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:

• To Quick Apply, go to Careers - NARA NW (naranorthwest.org)
• Look for the position you want to apply for and submit a resume (Required) and cover letter (Optional), that's all!
• Feel free to contact recruiting@naranorthwest.org if you have any questions or would like to know where your application is in the process.

NARA NW Mission: Our mission is to provide education, physical and mental health services and substance abuse treatment that is culturally appropriate to American Indians, Alaska Natives, and everyone in need.

NARA NW is fully committed to supporting sobriety. To support NARA NW in its mission, all employees agree to refrain from illicit drug use, marijuana use, and prescription drug abuse, both on and off the job. In addition, all employees agree to model alcohol sobriety. Modeling alcohol sobriety means not consuming, discussing, or promoting the use of alcohol, on the job, on social media and when in the community where the employee would be likely to be seen by NARA NW clients or community. If in recovery, employees must have been sober/clean for a length of time sufficient to demonstrate that they will be able to remain sober.

Consistent with NARA NW's sobriety policy, all employees, volunteers, interns, and contractors, as applicable, are required to sign a "Drug-Free/Alcohol-Free Workplace Certification Form" and NARA NW "Modeling Sobriety Policy Form" as a condition of employment to confirm that they are aware of this policy and that they agree to comply with it. Violation of this policy will result in disciplinary action up to and including termination of employment. This policy is subject to the requirements of the Americans with Disabilities Act and its state counterpart

Preference in hiring is given to qualified Native Americans in accordance with the Indian Preference Act (Title 25, US Code, Sections 472 and 473). NARA Northwest is an Equal Opportunity Employer. Within the scope of Indian Preference, all candidates will receive equal consideration. Experience working with Native American/ Alaska Native community is considered a plus.

This job description is not intended to be and should not be construed as an all-inclusive list of all the responsibilities, skills or working conditions associated with the position. While it is intended to accurately reflect the position's activities and requirements, the agency reserves the right to modify, add or remove duties and assign other duties, as necessary.