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Provider Credentialing Jobs in Maine (NOW HIRING)

Credentials: Valid NPI number and active malpractice insurance. Note: Headway currently supports only fully licensed providers. If you are not yet fully licensed, you're welcome to reapply once you ...

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Provider Credentialing information

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$13

$23

$37

How much do provider credentialing jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for provider credentialing in Maine is $23.58, according to ZipRecruiter salary data. Most workers in this role earn between $18.61 and $26.78 per hour, depending on experience, location, and employer.

What is provider credentialing?

Provider credentialing is the process by which healthcare organizations verify and assess the qualifications, experience, and professional background of medical providers, such as doctors, nurses, and specialists. This includes checking education, training, licenses, certifications, work history, and any malpractice or disciplinary actions. Credentialing ensures that providers meet the standards required to deliver care and are eligible for participation in health insurance networks. It is a critical step for patient safety and regulatory compliance. The process must be repeated periodically to maintain up-to-date records and ensure ongoing eligibility.

What are the key skills and qualifications needed to thrive in provider credentialing, and why are they important?

To thrive in Provider Credentialing, you need strong attention to detail, organizational skills, and knowledge of healthcare regulations, typically supported by a background in healthcare administration or related fields. Familiarity with credentialing software, databases, and compliance tools such as CAQH ProView and state licensure systems is essential. Exceptional communication, problem-solving, and time management skills help professionals interact with providers and manage complex documentation processes. These competencies ensure accurate provider verification, regulatory compliance, and efficient onboarding, which are critical for healthcare organizations.

What are some common challenges faced in a provider credentialing role, and how can they be managed?

A common challenge in Provider Credentialing is managing multiple deadlines and ensuring all documentation is accurate and up to date for various healthcare providers. The process often involves coordinating with providers, insurance companies, and regulatory bodies, which can lead to delays if communication is not clear. Staying organized, maintaining detailed records, and using credentialing management software can help streamline workflow and reduce errors. Building strong relationships with providers and team members also aids in resolving issues quickly and efficiently.

What is the difference between Provider Credentialing vs Medical Billing Specialist?

AspectProvider CredentialingMedical Billing Specialist
Required CredentialsLicenses, certifications, provider credentialsBilling certifications, coding knowledge
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, billing companies
Employer & Industry UsageHospitals, clinics, insurance providersMedical practices, billing firms
Search & Comparison IntentUnderstanding credentialing process, requirementsBilling procedures, coding, reimbursement

Provider Credentialing focuses on verifying healthcare providers' qualifications to ensure they meet industry standards, while Medical Billing Specialists handle coding, billing, and reimbursement processes. Both roles are essential in healthcare operations but serve different functions within the industry.

How to get into provider credentialing?

To enter provider credentialing, candidates typically need a background in healthcare administration, medical billing, or related fields, along with strong organizational and communication skills. Gaining certification such as the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects. Familiarity with healthcare regulations and credentialing software is also beneficial.

Is provider credentialing hard?

Provider credentialing can be a complex process that involves verifying a healthcare professional’s qualifications, licenses, and work history, often requiring attention to detail and organization. It typically involves working with multiple organizations and adhering to specific regulations, which can make the process time-consuming and challenging for some providers. Strong communication skills and familiarity with credentialing software can help streamline the process.

What does a provider credentialing specialist do?

A provider credentialing specialist is responsible for verifying healthcare providers' qualifications, licenses, and certifications to ensure they meet the standards required by insurance companies and healthcare organizations. They manage the credentialing process, maintain accurate provider records, and ensure compliance with regulatory requirements, often using specialized credentialing software. This role requires attention to detail, knowledge of healthcare regulations, and strong organizational skills.

What are the most commonly searched types of Provider Credentialing jobs in Maine?

The most popular types of Provider Credentialing jobs in Maine are:

What are popular job titles related to Provider Credentialing jobs in Maine?

For Provider Credentialing jobs in Maine, the most frequently searched job titles are:

Infographic showing various Provider Credentialing job openings in Maine as of August 2026, with employment types broken down into 2% As Needed, 75% Full Time, 15% Part Time, 3% Temporary, and 5% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $49,054 per year, or $23.6 per hour.

Critical Care Advanced Practice Provider

Central Maine Medical Center

Lewiston, ME • On-site

$140K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 days ago


Central Maine Medical Center rating

5.5

Company rating: 5.5 out of 10

Based on 42 frontline employees who took The Breakroom Quiz

944th of 1,065 rated hospitals


Job description

Bonus Amount
Up to $10,000 Sign-On Bonus
Bonus Information
Sign-On Bonus Available for Qualified Candidates. Eligibility and payout terms apply. Details discussed during the interview process.
Overview
Job Title: Critical Care Advanced Practice Provider (APP)
Employment Type: Full-Time
Organization: Central Maine Healthcare
Location: Lewiston, Maine
Position Overview
Central Maine Medical Center, a member of Prime Healthcare, is seeking a dedicated Advanced Practice Provider (APP) to join its Critical Care team in Lewiston, Maine. This role supports intensivists in delivering high-quality, evidence-based care to critically ill patients in the Intensive Care Unit (ICU).
The APP will function as an integral member of the multidisciplinary critical care team, providing comprehensive patient management, performing procedures, and collaborating with physicians, nurses, and specialists to optimize patient outcomes.
Work Schedule
Full-time position with a rotating schedule that may include 12-hour shifts, days, nights, weekends, and holidays depending on departmental needs.
Compensation & Benefits
  • Competitive compensation package
  • Comprehensive health, dental, and vision benefits
  • Malpractice coverage with tail
  • Retirement plan with employer contribution
  • Paid time off and CME allowance
  • Potential for sign on bonus with options for loan repayment and relocation assistance

Why Central Maine Healthcare?At Central Maine Healthcare, you'll have the opportunity to practice meaningful, patient-centered medicine in a collaborative environment where physicians are valued and supported. Our integrated health system offers strong clinical resources, opportunities for professional growth and leadership, competitive compensation, and an exceptional quality of life in Maine. As Maine's second-largest metropolitan area, the Twin Cities provide access to a diverse patient population, a collaborative medical community, and the ability to make a meaningful impact on the health of the region. Join a team where you can build a rewarding career while making a lasting impact on the health of the communities you serve.
About the Community
Located along the Androscoggin River, Lewiston-Auburn offers the perfect blend of professional opportunity, outdoor adventure, and New England charm. Lewiston-Auburn is also home to a thriving arts and culture scene, community festivals, performing arts venues, and the nationally recognized Bates College. Enjoy an exceptional quality of life with affordable housing, minimal commute times, highly rated schools, and access to some of the most beautiful landscapes in the Northeast. Outdoor enthusiasts can embrace all four seasons with hiking, trail running, mountain biking, boating, kayaking, fishing, golfing, skiing, snowshoeing and snowmobiling-all within a short drive of home. Just 40 minutes away, Portland offers one of the most celebrated culinary scenes in the country. From award-winning chefs and fresh Maine seafood to craft breweries, waterfront dining and vibrant farmers markets, the city has become a destination for food lovers from around the world.
About Us
Central Maine Healthcare (CMH), a member of Prime Healthcare Foundation, is an integrated healthcare delivery system serving approximately 400,000 residents across central, western, and midcoast Maine through a network of more than 40 primary and specialty care locations. The system includes Central Maine Medical Center (CMMC) in Lewiston, a 250-bed, not-for-profit regional referral hospital that is home to the region's only Cancer Care Center, an orthopedic ambulatory surgery center, and the Central Maine Heart and Vascular Institute. CMMC also serves as the central Maine base for LifeFlight of Maine, the state's only medical helicopter service.
CMH also includes Bridgton Hospital and Rumford Hospital, two 25-bed critical access hospitals that provide essential care to Maine's rural communities.
As part of its commitment to healthcare education and workforce development, CMH is home to the Maine College of Health Professions, Maine's first nursing and medical imaging school. The private, not-for-profit institution is accredited by the New England Commission of Higher Education and plays an important role in training the next generation of healthcare professionals.
To learn more, visit www.cmhc.org.
Responsibilities
  • Provide comprehensive care to critically ill patients in the ICU setting.
  • Conduct patient assessments including history, physical examinations, and ongoing clinical evaluations.
  • Develop and implement treatment plans in collaboration with attending intensivists and the critical care team.
  • Manage acute and chronic conditions affecting critically ill patients including respiratory failure, sepsis, shock, and multi-organ dysfunction.
  • Perform bedside procedures such as central line placement, arterial line insertion, intubation assistance, and other ICU-related procedures consistent with credentialing and training.
  • Interpret diagnostic tests including laboratory results, imaging, and hemodynamic monitoring.
  • Coordinate care with consulting services, nursing staff, respiratory therapy, and other healthcare professionals.
  • Participate in daily multidisciplinary rounds and contribute to patient care planning.
  • Document patient encounters and clinical decisions accurately in the electronic medical record.
  • Provide education and support to patients and families regarding treatment plans and prognosis.

Qualifications
  • Master's degree from an accredited Nurse Practitioner or Physician Assistant program.
  • Current Maine licensure as an NP or PA (or eligibility for licensure).
  • National certification as a Nurse Practitioner or Physician Assistant.
  • BLS and ACLS certification required.
  • Critical care or ICU experience preferred.
  • Ability to work effectively in a high-acuity, team-based environment.

#LI-TA1
Pay Transparency
Central Maine Medical Center offers competitive compensation and a reasonable compensation estimate for this role is $140,000 to $170,000. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/
Employment Status
Full Time
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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About Central Maine Medical Center

Sourced by ZipRecruiter

Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoast Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services. If you are passionate about making a difference and are looking for your next great career opportunity, we look forward to reviewing your application!

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Lewiston, ME, US

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