Credentialing Verification Specialist I

MaineHealth; Portland (ME); On-site; USD 30,000 - 40,000; Full time

Benefits offered by this job

Paid parental leave

Flexible work options

Student loan assistance

Professional development opportunities

Well-being resources

Job summary

MaineHealth is seeking a Credentialing Verification Specialist I to ensure provider credentials are processed in accordance with organizational policies. The role includes verification tasks, tracking letters, and following up on problems that may delay file completion.

This position supports credentialing activities and requires attention to detail to maintain accuracy and timeliness across MaineHealth operations.

Qualifications

• High school diploma or GED preferred.
• CMSC or CPCS certification preferred.
• Knowledge of credentialing process preferred.

Responsibilities

• Ensure credentialing of providers follows organizational policies and procedures.
• Perform verification functions, letter tracking, and follow-up on issues delaying files.

Skills

Credentialing knowledge

Education

High school diploma or GED

Job description

Description

MaineHealth Corporate

Clerical/Administrative Support
Req #: 94635

Summary:

The Credentialing Verification Specialist I role is responsible for ensuring that the credentialing of providers is conducted in accordance with organizational policies and procedures and performing activities associated with verification functions, letter tracking, and follow-up on problems which may delay completion of the file.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: High school diploma or GED preferred.
2. License/Certifications: Current certification as a Medical Staff Coordinator (CMSC) or Provider Credentialing Specialist (CPCS) from the National Association of Medical Staff Services preferred.
3. Experience: Knowledge of or experience with credentialing process preferred.

Additional Information

MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources-so you can grow your career while feeling supported both personally and professionally.

We recognize the value each team member brings to our organization.Any offer of employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage.

The pay range for this position is $21.97to $29.28 per hour.

Compensation for part-time positions isdeterminedon a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE).

In addition to base pay, MaineHealth offerscomprehensivebenefits, recognition programs, career growth opportunities, and,where applicable,shiftdifferentials or other incentives.

Notice Regarding Maine Employer Surveillance Statute:

Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras.

Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.