Credentialing Specialist

Mass General Brigham•Somerville, MA

8h•Remote

About The Position

Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Requirements

High School Diploma or Equivalent required or Associate's Degree
3-5 years of experience in credentialing or a related field required
Working knowledge of general office practices and software applications and database management.
Demonstrated understanding of credentialing policies and procedures, as well as accreditation and regulatory requirements relating to the medical staff.
Strong organizational skills.
Ability to manage demanding workload; self-motivated; able to carry out responsibilities with minimum supervision.
Strong analytical skills.
Strong interpersonal skills.
Ability to successfully negotiate and collaborate with others of different skill sets, backgrounds and levels within and external to the organization.

Nice To Haves

Related Field of Study preferred

Responsibilities

Assist with activities associated with physician and advanced practice provider’s credentialing and recredentialing; track and maintain credentialing expiring documents
Maintain the integrity of provider data in the enterprise credentialing system by ensuring data is entered and updated accurately
Communicate with internal and external physicians, allied health professionals, other healthcare professionals and managers regarding questions or issues in an effort to gather and maintain credentialing information
Assist with initial and reappointment application in accordance with policies and procedures; ensure that the credentialing application is completed within an established time frame
Perform routine credentialing application audits for quality, completeness, and accuracy of data, identify non-compliant items, and identifies issues that require additional investigation and evaluations
Utilize credentialing websites to obtain primary source verifications, and assist with verifying credentialing elements
Maintain competency on nationally recognized credentialing related initiatives through participation with NAMSS and MAMSS, journal articles, online education, webinars and other industry related news