Provider Enrollment Specialist #62648

Northern Light Health
Job Description
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Job Summary : The Provider Enrollment Specialist is responsible for the timely submission of provider enrollment applications to governmental and commercial payers and for performing the tracking and follow-up required until providers are established and linked to the appropriate EMHS group entity.

Required Education and Experience:

- Associates degree or high school diploma/equivalent with at least 2 years of medical office experience

- General understanding of the medical staff organization and Joint Commission/Healthcare Facilities Accreditation Program/National Committee for Quality Assurance standards. State/federal/licensure regulations, particularly as it relates to the provider enrollment

- Experience with Microsoft Office products, including but not limited to Excel and Outlook

Preferred Education and Experience:

- Bachelor's degree

- NAMSS Certification as a Certified Provider Credentials Specialist (CPCS) or Certified Professional Medical Services Manager (CPMSM)

- NAMSS Certification as either Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS)

- Affiliation and participation with the Maine Association Medical Staff Services
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