Credentialing & Enrollment Coordinator, Provider Enrollment/Medical Staff Office (40 hrs, Days)
POSITION SUMMARY: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.Position: Credentialing & Enrollment Coordinator, Provider Enrollment Department: Medical Staff OfficeSchedule: Full Time, 40 hrs, DaysJOB REQUIREMENTSEDUCATION:Associates degree or equivalent experience. Bachelor's degree preferredHigh School Diploma required.CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:CPSC: Certified Provider Credentialing Specialist, preferredEXPERIENCE:Requires 1 - 3 years experience in a healthcare system, group practice, Medical Staff Office, credentials verification organization or health plan. A bachelor's degree in information systems or healthcare management or previous database administrator experience may be substituted for the required experience.Knowledge of provider credentialing and/or enrollment required.KNOWLEDGE AND SKILLS:Work requires 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.Work requires 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. Experience with CAQH system and third party insurance Website a plus.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.Compensation Range:$21.39- $30.05This range offers an estimate based on the minimum job qualifications. However, our approach to determ...