Records and Credentialing Specialist

Job Title: Records and Credentialing Specialist

Department: Compliance

Full Time

Intro and job overview: Join our KBBH team and find meaningful work, inspiring colleagues, career growth, great compensation, the ability to pay down student loans, and excellent benefits. Located in beautiful Southern Oregon.

Join an outstanding multi-disciplinary team including an on-staff psychiatric team and licensed clinical staff. Klamath Basin Behavioral Health is an accredited NHSC facility.

The National Health Service Core (NHSC) Loan Repayment Program is open to licensed primary care medical, dental, and mental and behavioral health providers who are employed by accredited sites.

WHAT IS GREAT ABOUT THIS OPPORTUNITY

Vision: Sharing the power of mental wellbeing

Mission: Providing compassionate care throughout our community

Excellent outdoor activities including, hiking, biking, kayaking, wellness, ziplining, and fishing.

Welcoming community and a great place to raise a family.

Benefits and Pay Range:

Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education and experience as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range.

Salary: $18.92 - $23.64 DOE

• Medical Insurance
• Dental Insurance
• Vision Insurance
• 403 (b) Retirement Plan
• Paid Vacation & Wellness Days
• Life Insurance
• Disability Insurance
• Flexible Spending Account (FSA)
• Health Savings Account (HSA)
• Employee Discounts
• Employee Assistance Program (EAP)
• Wellness Program
• Tuition Reimbursement Program

Are you a detail-oriented professional with a passion for compliance and credentialing? As a Records and Credentialing Specialist, you will play a pivotal role in maintaining accurate records, ensuring provider credentialing compliance, and upholding regulatory standards. Reporting to the Compliance Manager, this position is responsible for processing records requests, managing provider credentialing, and, when assigned, acting as an Adult Abuse Investigator.

What You’ll Do:

Records Management

• Monitor and process incoming records requests in a timely and compliant manner.
• Review, file, and facilitate medical information requests while ensuring proper authorization.
• Provide guidance to staff on HIPAA and 42 CFR Part 2 regulations, ensuring compliance with confidentiality and medical record documentation standards.

Credentialing & Compliance

• Oversee and track provider credentials and licenses, ensuring timely renewals.
• Facilitate initial credentialing and insurance paneling for licensed providers.
• Develop and refine internal credentialing processes for efficiency and compliance.
• Maintain accurate records of credentials, licenses, and regulatory documentation.
• Serve as the key liaison with insurance companies and accrediting bodies.

Adult Abuse Investigation (When Assigned)

• Conduct investigations into reports of abuse, neglect, or exploitation involving vulnerable adults.
• Assess protective service needs and review medical, behavioral, and financial records.
• Collaborate with Klamath County Multi-Disciplinary Team (MDT), law enforcement, healthcare providers, and human services organizations to enhance protective measures.
• Ensure compliance with Oregon Administrative Rules (OARs) and legal requirements in all investigations.

What You Bring to the Role:

• Required: High school diploma or GED.
• Preferred: Certification in Provider Credentialing and/or Medical Office Administration.
• Knowledge of regulatory compliance – Understanding of Oregon Administrative Rules, HIPAA, and credentialing requirements for Behavioral Health and Addiction Treatment Services.
• Strong organizational skills – Ability to manage multiple priorities, meet deadlines, and maintain meticulous records.
• Exceptional communication – Collaborate with internal teams, external agencies, and regulatory bodies to ensure seamless operations.

Additional Requirements:

• Valid Oregon driver’s license & insurable driving record.
• Personal automobile insurance if transporting clients or conducting agency business using a personal vehicle.

Why Join Us?

• Make an Impact – Play a crucial role in ensuring regulatory compliance and client protection.
• Professional Growth – Gain specialized knowledge in records management, credentialing, and investigations.
• Collaborative Environment – Work alongside dedicated professionals committed to excellence.

Take the next step in your career—apply today!

Other Considerations: Klamath Basin Behavioral Health celebrates diversity and is committed to creating inclusive and equal access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression, and veteran's status. or any other basis covered by appropriate law. Our employment decisions are based on qualifications, merit, and agency need.

Compensation details: 18.92-23.64 Hourly Wage

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