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.