Provider Enrollment Coordinator

Mass General Brigham • Somerville, MA

3h • $18 - $25 • Remote

About The Position

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. Summary: Responsible for providing administrative support to the credentialing program ensuring that medical staff members maintain current credentials and licenses to work legally in their field or specialty. Responsible for monitoring upcoming renewal dates and working with medical staff to advise them of the required steps to maintain their credentials. Does this position require Patient Care? No

Requirements

• Bachelor's Degree Related Field of Study preferred
• Experience in Clinical/Medical Office/Healthcare 1-2 years required
• Knowledge of medical provider credentialing and accreditation principles, policies, processes, procedures, and documentation.
• Working knowledge of clinical and/or hospital operations and procedures.
• Ability to use independent judgment and to manage and impart confidential information.
• Skill in establishing priorities with independent coordination of day-to-day aspects.
• Ability to communicate effectively both orally and in writing.
• Information research skills.

Nice To Haves

• Credentialing/Accreditation Experience 1-2 years preferred

Responsibilities

• Reviews and screens initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal, state, local and company regulations, guidelines, policies, and standards.
• Conducts primary source verification, collects and validates documents to ensure accuracy of all credentialing elements; assesses completeness of information and qualifications relative to credentialing standards.
• Identifies, analyzes and resolves extraordinary information, discrepancies, time gaps and other idiosyncrasies that could adversely impact ability to credential and enroll practitioners.
• Monitors files to ensure completeness and accuracy; reviews all file documentation for compliance with quality standards, accreditation requirements, and all other relevant policies.
• Enters, updates and maintains data from provider applications into credentialing database.
• Prepares, issues, electronically tracks and follows-up on appropriate verifications for efficient, high-volume processing of individual applications in accordance with applicable credentialing standards.
• Prepares reports and scoring required by regulatory and accrediting agencies, policies and standards.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level