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