Entry-Level Credentialing Coordinator

About the position

HealthDrive is seeking an organized entry-level, full-time Credentialing Coordinator to join our team! The Credentialing Coordinator will be responsible for the credentialing and re-credentialing of primary care providers with facilities and project-based work/various tasks related to regulatory affairs. We are conveniently located off Route 9 in Framingham, MA, close to routes 90 and 495 in a spacious modern office with a workout center available right in the building! HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence. HealthDrive is a place where everyone can grow and training is provided. Join our diverse team today!

Responsibilities

• Maintains high-quality, up-to-date, and accurate credentialing processes of primary care professionals with nursing facilities and hospitals.
• Assists in maintaining the healthcare professionals' information in the Credentialing system by entering/uploading information and documents.
• Prepares facility credentialing applications for healthcare professional's review and signature; follows up with healthcare professional until completed application is received back; submits the completed applications to the facilities.
• Tracks and monitors the status of each credentialing request; follows up with facility until approval is received.
• Assists the department with various projects as the need arises. Examples of project work include but are not limited to record requests, payer audits/appeals, payer contract initiation.
• Other duties and responsibilities as assigned.

Requirements

• Outstanding organizational skills and attention to detail.
• Excellent judgment & prioritization skills: proactively prioritizes needs and effectively manages resources.
• Must have excellent communication skills: verbal, interpersonal, and written. This includes strong spelling and grammar skills and basic mathematical calculations.
• Must have strong ability to self-direct and work independently in a high-volume, deadline-driven role.
• Customer orientation: establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
• Articulates knowledge and understanding of organizational policies, procedures, and systems.
• Demonstrates proficiency in Microsoft Office (Excel, Access, Word) applications and other as required.
• Ability to maintain confidentiality of privileged information gained.

Nice-to-haves

• Credentialing experience strongly preferred.

Benefits

• PPO Medical, Dental, and Vision Insurance
• 401(k) + Company match
• Paid Time Off
• Hybrid schedule opportunity
• Monthly meal program
• Verizon Wireless, Dell, and other employee discounts
• Profit sharing
• Employee referral bonuses