Credentialing Assistant at Spectrum Healthcare Partners | Torre
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Credentialing Assistant

You'll drive critical healthcare operations, ensuring provider excellence across diverse specialties.
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Full-time

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Posted 6 months ago

Requirements and responsibilities


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 SUMMARYProvides 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.Remote work in Maine, New Hampshire, or Massachusetts will be considered.ESSENTIAL FUNCTIONSCompletes provider recredentialing applications; monitors applications and follows up as neededDocuments work assignments within the specified systems and timeframesParticipates in process improvement activitiesSupports the maintenance and organization of provider records (digital and hardcopy)Assists with verifying and maintaining an accurate credentialing databaseFollows established data entry protocols of the departmentAssists 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-attestationsMaintains appropriate level of sensitivity and confidentiality regarding department material and informationCollaborates with credentialing and enrollment staff on projects, policies and proceduresResponds to general requests from physicians and hospital sites within specified timeframesPRIMARY RESPONSIBILITIESLearns various office software support applicationsNavigates easily between tasks for various clientsRemains flexible for other requested and assigned dutiesAttends meetings as assigned and participates in educational activities to keep skills up to dateDemonstrates professionalism at all timesDisplays cooperative behavior and interacts positively and effectively with others to promote a team environmentPerforms other duties necessary to maintain the overall efficiency and continuity of the departmentQUALIFICATIONSHigh School Diploma1-2 years’ experience in credentialing/privileging or enrollment desiredStrong organizational, time management skills with high attention to detail and accuracyAbility to work independently and as a member of a team, with little supervision; solution and detail orientedExcellent communication and interpersonal skills with the ability to professionally communicate with physicians, leadership and all levels of staffAbility to manage multiple tasks, simultaneouslyProficient computer skills with working knowledge of Microsoft Office applications, particularly Word, Excel, and OutlookExperience with MD Staff or other credentialing databases preferredAbility to handle confidential provider information with discretion and professionalismPHYSICAL DEMANDS / WORK ENVIRONMENTOperation of various office equipment; fax machine, telephone & voice mail system, stationary/lap top computer, dictation machine, scanner, e-mail system, cell phone, pager, and copierMay be required to sit or stand (presentations) for extended periods of timeLight lifting of paperwork, folders or other general record keeping materialsOn 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 eventsBENEFITS & PERKSHealth insurance (80% company-paid)HSA Match ($3000 family plan/$1625 individual plan)Dental & Vision Insurance Plans401(k) Match and Profit-Sharing PlansLife and Accidental Death and Dismemberment InsuranceLong-term Disability InsuranceShort-term Disability InsuranceShort-term Disability InsuranceGenerous Paid Time OffVoluntary, Employee-Paid BenefitsMedical Reimbursement Plan
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