Credentialing Specialist at Providence Health & Services, Portland, Maine

Company Overview: Providence Health & Services is a renowned healthcare organization dedicated to providing compassionate care to communities across the United States. With a strong commitment to excellence and innovation, Providence Health & Services in Portland, Maine, delivers high-quality healthcare services tailored to meet the diverse needs of patients. Key Responsibilities for Credentialing Specialist: - Conduct thorough credentialing and re-credentialing processes for healthcare providers in accordance with regulatory standards and organizational policies. - Collaborate with internal departments to ensure accurate and timely processing of credentialing applications. - Maintain up-to-date provider credentialing files and databases to ensure compliance with accreditation requirements. - Coordinate with external agencies and insurance companies to verify provider credentials and facilitate network participation. - Assist in resolving credentialing issues and discrepancies to ensure the integrity of provider information. Required Qualifications: - Bachelor's degree in Healthcare Administration, Business Administration, or related field. - Minimum of 2 years of experience in provider credentialing within a healthcare setting. - Proficiency in credentialing software systems and databases. - Strong understanding of healthcare regulations, accreditation standards, and compliance requirements. - Excellent attention to detail, organizational skills, and ability to prioritize tasks effectively. - Exceptional communication and interpersonal skills to interact with providers, team members, and external stakeholders. Desired Skills: - Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) credential. - Experience with Electronic Provider Enrollment systems. - Knowledge of managed care contracting and payer credentialing processes. - Ability to analyze and interpret complex credentialing data for decision-making purposes. - Proven track record of maintaining confidentiality and handling sensitive provider information with discretion. Compensation & Benefits: The annual salary range for the Credentialing Specialist position at Providence Health & Services in Portland, Maine, is competitive and commensurate with experience. In addition to the salary, employees are eligible for a comprehensive benefits package that includes medical, dental, and vision coverage, retirement plans, paid time off, and professional development opportunities. How to Apply: To apply for the Credentialing Specialist position at Providence Health & Services in Portland, Maine, please visit our company website and submit your updated resume along with a cover letter highlighting your relevant experience and qualifications. We look forward to reviewing your application and considering you for this exciting opportunity to join our dynamic healthcare team.