Credentialing & Enrollment Coordinator, Provider Enrollment/Medical Staff Office (40 hrs, Days)

BMC Software•Boston, MA

4d•$21 - $30•Onsite

About The Position

Under the supervision of the Director, Medical Affairs and Manager of Provider Enrollment, is responsible for the timely credentialing for all Medical-Dental Staff and enrollment of all new and existing Faculty Practice Foundation practitioners with third party payors. Requests and obtains provider data. Maintains provider information in existing computer software systems. Requires an individual with strong organizational skills, detail oriented with an ability to work in varied and busy atmosphere and an individual who can independently organize and prioritize the workload to support the goals of the Boston Medical Center and Faculty Practice Foundation. Maturity, discretion and an ability to maintain confidentiality are of utmost importance.

Requirements

Associates degree or equivalent experience
High School Diploma required
1 - 3 years experience in a healthcare system, group practice, Medical Staff Office, credentials verification organization or health plan
Knowledge of provider credentialing and/or enrollment required
Basic knowledge of credentialing and enrollment procedures / requirements
Ability to work well with all levels of personnel to establish and maintain harmonious working relationships with providers, chiefs of service, department directors and administrative staff and outside agencies
Strong communication, time management and organizational skills required to keep a very large and complex system running efficiently
Ability to prioritize duties and meet deadlines
Ability to consolidate information from various sources
Ability to identify problems in the credentialing and enrollment process and strong problem solving skills needed to resolve any problem as they arise
Proficiency with Microsoft Office applications (i.e. MS Word, Excel, Access, PowerPoint, Outlook) and web browsers
Skilled in basic computer programs, such as Word and Excel
Experience with Microsoft Office
Promotes and maintains a professional demeanor both personally and for BMC & the FPF
Able to function independently and perform routine department procedures without supervision
Must have proven ability to maintain sensitive and confidential information

Nice To Haves

Bachelor's degree preferred
CPSC: Certified Provider Credentialing Specialist, preferred
A bachelor's degree in information systems or healthcare management or previous database administrator experience may be substituted for the required experience
Experience with CAQH system and third party insurance Website a plus

Responsibilities

Timely credentialing for all Medical-Dental Staff
Enrollment of all new and existing Faculty Practice Foundation practitioners with third party payors
Request and obtain provider data
Maintain provider information in existing computer software systems