Credentialing Assistant

South Portland, ME

Full Time

Administrative

Entry Level

Spectrum Healthcare Partners is Maine’s largest multi-specialty, physician-owned and directed professional organization and is comprised of approximately 200 physicians practicing in the areas of anesthesiology, pathology, radiation oncology, radiology, and vascular & interventional radiology. Spectrum provides services at many of Maine’s hospitals throughout the state and in eastern New Hampshire.

POSITION SUMMARY

Provides diverse administrative support for unique credentialing- & privileging-related projects for clients across the U.S. with providers in varying specialties including radiology, radiation oncology, pathology and anesthesiology. Assists credentialing and enrollment staff with preparation, distribution and tracking of various credentialing and enrollment-related documents as well as with maintaining and organizing credentialing and enrollment data. Additional responsibilities may include gathering, tracking and reporting of all continuing medical education (CME) records.

ESSENTIAL FUNCTIONS

Completes provider recredentialing applications; monitors applications and follows up as needed
Documents work assignments within the specified systems and timeframes
Participates in process improvement activities
Supports the maintenance and organization of provider records (digital and hardcopy)
Assists with verifying and maintaining an accurate credentialing database
Follows established data entry protocols of the department
Assists with maintaining all expiring credentials including, but not limited to licensure, DEA certificates, board certification, malpractice insurance, and any other required credentialing documents for all providers.
Updates providers’ CAQH as appropriate and performs re-attestations
Maintains appropriate level of sensitivity and confidentiality regarding department material and information
Collaborates with credentialing and enrollment staff on projects, policies and procedures
Responds to general requests from physicians and hospital sites within specified timeframes

PRIMARY RESPONSIBILITIES

Learns various office software support applications
Navigates easily between tasks for various clients
Remains flexible for other requested and assigned duties
Attends meetings as assigned and participates in educational activities to keep skills up to date
Demonstrates professionalism at all times
Displays cooperative behavior and interacts positively and effectively with others to promote a team environment
Performs other duties necessary to maintain the overall efficiency and continuity of the department

QUALIFICATIONS

High School Diploma
1-2 years’ experience in credentialing/privileging or enrollment desired
Strong organizational, time management skills with high attention to detail and accuracy
Ability to work independently and as a member of a team, with little supervision; solution and detail oriented
Excellent communication and interpersonal skills with the ability to professionally communicate with physicians, leadership and all levels of staff
Ability to manage multiple tasks, simultaneously
Proficient computer skills with working knowledge of Microsoft Office applications, particularly Word, Excel, and Outlook
Experience with MD Staff or other credentialing databases preferred
Ability to handle confidential provider information with discretion and professionalism

PHYSICAL DEMANDS / WORK ENVIRONMENT

Operation of various office equipment; fax machine, telephone & voice mail system, stationary/lap top computer, dictation machine, scanner, e-mail system, cell phone, pager, and copier
May be required to sit or stand (presentations) for extended periods of time
Light lifting of paperwork, folders or other general record keeping materials
On occasion, may be asked to travel to various sites of service (such as remote sites of service), hospital or clinical site credentialing departments or Medical Staff Services events

BENEFITS & PERKS

Health insurance (80% company-paid)
HSA Match ($3000 family plan/$1625 individual plan)
Dental & Vision Insurance Plans
401(k) Match and Profit-Sharing Plans
Life and Accidental Death and Dismemberment Insurance
Long-term Disability Insurance
Short-term Disability Insurance
Short-term Disability Insurance
Generous Paid Time Off
Voluntary, Employee-Paid Benefits
Medical Reimbursement Plan

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