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Spectrum Healthcare Partners

Credentialing Assistant

Spectrum Healthcare Partners, South Portland, Maine, us, 04106

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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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