Credentialing Coordinator

1 week ago


Hillsboro, Oregon, United States Virginia Garcia Memorial Health Center Full time
Position Overview

Virginia Garcia Memorial Health Center is dedicated to fostering diversity and inclusivity in our workforce. We are committed to delivering exceptional, culturally sensitive healthcare to underserved populations, particularly seasonal and migrant farm workers.

Role Summary: The Credentialing Coordinator is responsible for the credentialing, privileging, and re-credentialing processes for licensed independent practitioners and other healthcare professionals. This role collaborates closely with the Billing and Human Resources departments to ensure compliance with credentialing requirements for various insurers and Medicare/Medicaid enrollment.

Key Responsibilities:

  • Conduct credentialing, privileging, and re-credentialing for licensed healthcare providers.
  • Perform thorough verifications of licenses, certifications, education, and training in line with organizational policies and regulatory standards.
  • Ensure timely and accurate processing of credentialing applications for insurers and Medicare/Medicaid.
  • Gather and maintain supporting documentation for privileging requests.
  • Execute National Practitioner Data Bank queries and review professional liability claims history.
  • Collect peer references and recommendations as part of the credentialing process.
  • Coordinate with educational institutions for the credentialing of residents in training programs.
  • Prepare credentialing applications for review by the Medical Director and Board of Directors.
  • Maintain and update confidential credentialing files and provider databases.
  • Monitor and notify providers regarding necessary updates to their credentials.
  • Assist providers in tracking Continuing Medical Education (CME) credits and alert them of re-credentialing timelines.
  • Facilitate communication between clinical leadership, providers, and administrative staff regarding credentialing matters.
  • Act as a liaison to ensure smooth interactions between providers and administrative teams.
  • Support the development of policies and documentation for effective credentialing processes.
  • Participate in new provider orientation as required.

Qualifications:

  • High School diploma or equivalent required.
  • Minimum of two years of experience in a healthcare environment is essential.
  • Prior experience in medical administration and credentialing is highly preferred.
  • Experience in a primary care setting is advantageous.

Skills and Attributes:

  • Strong organizational skills with attention to detail.
  • Proficient in Microsoft Office Suite and database management.
  • Excellent written and verbal communication abilities.
  • Ability to manage workload effectively and adapt to changing priorities.
  • Commitment to maintaining confidentiality and ethical standards.

Work Environment: This position is primarily office-based, requiring the use of standard office equipment.

Immunization Compliance: Staff members must adhere to immunization requirements as outlined in organizational policies.

Virginia Garcia Memorial Health Center is an Equal Opportunity Employer, committed to diversity and inclusion in the workplace.



  • Hillsboro, Oregon, United States Virginia Garcia Memorial Health Center Full time

    Position OverviewVirginia Garcia Memorial Health Center is dedicated to fostering an inclusive environment that honors diversity and serves historically marginalized communities. Our commitment is to deliver high-quality, culturally sensitive healthcare to low-income individuals, with a focus on seasonal and migrant farm workers.Role Summary: The...


  • Hillsboro, Oregon, United States Virginia Garcia Memorial Health Center Full time

    Position OverviewVirginia Garcia Memorial Health Center is dedicated to fostering an inclusive environment that values diversity. We are committed to delivering high-quality, culturally sensitive healthcare to underserved populations, particularly seasonal and migrant farm workers.Role Summary: The Credentialing Coordinator is responsible for overseeing the...


  • Hillsboro, Oregon, United States MSR-FSR Full time

    Job OverviewPOSITION TITLE: Semiconductor Equipment Maintenance SpecialistOVERVIEW:The Semiconductor Equipment Maintenance Specialist is tasked with performing routine maintenance and installation of semiconductor machinery.KEY RESPONSIBILITIES:Preventative Maintenance TechnicianAct as a seasoned technician, working alongside junior technicians to fulfill...

  • Credentialing Manager

    1 month ago


    Hillsboro, United States Virginia Garcia Memorial Health Center Full time

    Job DescriptionJob DescriptionAt Virginia Garcia Memorial Health Center, we welcome diversity; we encourage, uplift, and are honored to serve people who have been historically underrepresented and underserved. Our mission is to provide high-quality, culturally appropriate healthcare to low-income residents of Washington and Yamhill Counties, with a special...


  • Hillsboro, United States Virginia Garcia Memorial Health Center Full time

    Job DescriptionJob DescriptionAt Virginia Garcia Memorial Health Center, we welcome diversity; we encourage, uplift, and are honored to serve people who have been historically underrepresented and underserved. Our mission is to provide high-quality, culturally appropriate healthcare to low-income residents of Washington and Yamhill Counties, with a special...


  • Hillsboro, United States Virginia Garcia Memorial Health Center and Foundation Full time

    About Us: At Virginia Garcia Memorial Health Center, we embrace diversity and are committed to serving populations that have been historically marginalized. Our mission focuses on delivering high-quality, culturally sensitive healthcare to low-income residents, particularly seasonal and migrant farm workers.Position Overview: The Credentialing Operations...


  • Hillsboro, United States Kaiser Permanente Full time

    Job Summary: Inpatient Care Managers are Registered Nurses who independently assure patients are admitted to the correct level of care for accurate billing and reimbursement, provide quality, cost effective clinical coordination/care management in acute care and emergency care settings, manage patients with routine and complex transition planning needs by...


  • Hillsboro, Missouri, United States Mental Health Association Full time

    Position Title: Client Care Coordinator Available Positions: Multiple openings Supervisor: Program Supervisor for Care Coordination Job Purpose: To deliver comprehensive care management services to individuals participating in the Health Home Care Coordination initiative.To execute responsibilities while fostering an environment that aligns with MHA's...


  • Hillsboro, United States Kaiser Permanente Full time

    Description: Inpatient Care Managers are Registered Nurses who independently assure patients are admitted to the correct level of care for accurate billing and reimbursement, provide quality, cost effective clinical coordination/care management in acute care and emergency care settings, manage patients with routine and complex transition planning needs by...


  • Hillsboro, United States HealthEcareers - Client Full time

    Job Summary: The RN Team Leader assumes a lead role in collaboration with a clinician partner to assist in the timely, appropriate and safe transition of patients from hospital, emergency departments, home health/hospice, and outpatient clinics to other care settings across the continuum. The RN Team Leader supports and assists with the development of a...


  • Hillsboro, United States Washington County, OR Full time

    Job SummaryWashington County, OR is seeking a highly skilled Risk Management Analyst II to join our team. As a key member of our organization, you will be responsible for organizing, coordinating, and administering County risk assessment and loss control programs.Key ResponsibilitiesCollaborate with the Risk Management team and County departments to identify...


  • Hillsboro, United States Infotree Global Solutions Full time

    This is night shift role and requires some travelling for training or supporting business needs Responsibilities Performs on-site service and repair of semiconductor processing equipment Troubleshoots equipment problems Maintains records and reports as required Coordinates activities with peers, supervisor(s) and customers to minimize equipment downtime and...


  • Hillsboro, United States Infotree Global Solutions Full time

    Responsibilities: • Performs on-site service and repair of semiconductor processing equipment • Troubleshoots equipment problems • Maintains records and reports as required • Coordinates activities with peers, supervisor(s) and customers to minimize equipment downtime and interruptions • Orders and installs parts • Responds to emergency service...


  • Hillsboro, United States Infotree Global Solutions Full time

    Responsibilities: • Performs on-site service and repair of semiconductor processing equipment • Troubleshoots equipment problems • Maintains records and reports as required • Coordinates activities with peers, supervisor(s) and customers to minimize equipment downtime and interruptions • Orders and installs parts • Responds to emergency service...

  • RN, L&D/Post-Partum

    2 weeks ago


    Hillsboro, United States Kaiser Permanente Full time

    Description: Job Summary:Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses...


  • Hillsboro, United States Infotree Global Solutions Full time

    This is night shift role and requires some travelling for training or supporting business needsResponsibilitiesPerforms on-site service and repair of semiconductor processing equipmentTroubleshoots equipment problemsMaintains records and reports as requiredCoordinates activities with peers, supervisor(s) and customers to minimize equipment downtime and...


  • Hillsboro, United States Infotree Global Solutions Full time

    This is night shift role and requires some travelling for training or supporting business needsResponsibilitiesPerforms on-site service and repair of semiconductor processing equipmentTroubleshoots equipment problemsMaintains records and reports as requiredCoordinates activities with peers, supervisor(s) and customers to minimize equipment downtime and...

  • Field Service Engineer

    2 months ago


    Hillsboro, United States FST Technical Services Full time

    FST Technical Services is looking for several Field Service Engineers for the semiconductor industry. Entry level, including new grads and recently separated military personnel with mechanical and electrical aptitude, as well as seasoned and experienced FSEs are encouraged to apply. Come join an awesome team in an exciting industry!Responsibilities...


  • Hillsboro, Missouri, United States Optum Full time

    About the RoleOptum Home & Community Care is seeking a highly skilled Nurse Practitioner to join our interdisciplinary team in the Hillsboro, MO area. As a key member of our team, you will play a vital role in delivering high-quality, patient-centered care to complex, chronic patients in the comfort of their own homes.Key ResponsibilitiesProvide...

  • Field Service Engineer

    2 months ago


    Hillsboro, United States FST Technical Services Full time

    FST Technical Services is looking for several Field Service Engineers for the semiconductor industry. Entry level, including new grads and recently separated military personnel with mechanical and electrical aptitude, as well as seasoned and experienced FSEs are encouraged to apply. Come join an awesome team in an exciting industry! Responsibilities ...

  • Field Service Engineer

    3 months ago


    Hillsboro, United States FST Technical Services Full time

    Job DescriptionJob DescriptionFST Technical Services is looking for several Field Service Engineers for the semiconductor industry.  Entry level, including new grads and recently separated military personnel with mechanical and electrical aptitude, as well as seasoned and experienced FSEs are encouraged to apply.  Come join an awesome team in an exciting...

  • Field Service Engineer

    3 months ago


    Hillsboro, United States FST Technical Services Full time

    Job DescriptionJob DescriptionFST Technical Services is looking for several Field Service Engineers for the semiconductor industry.  Entry level, including new grads and recently separated military personnel with mechanical and electrical aptitude, as well as seasoned and experienced FSEs are encouraged to apply.  Come join an awesome team in an exciting...


  • Hillsboro, Missouri, United States Optum Full time

    About the RoleOptum Home & Community Care is seeking a skilled Nurse Practitioner to join our interdisciplinary team in the Hillsboro, MO area. As a key member of our team, you will play a vital role in delivering high-quality, patient-centered care to complex, chronic patients in the comfort of their own homes.Key ResponsibilitiesProvide comprehensive...