Credentialing & Enrollment Coordinator

POSITION SUMMARY:

Under the supervision of the Director, Medical Affairs & Credentialing and Manager of Provider Enrollment, is responsible for the timely credentialing for all Medical-Dental Staff and enrollment of all new and existing 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 Health System.  Maturity, discretion and an ability to maintain confidentiality are of utmost importance.

Position: Credentialing & Enrollment Coordinator       

Department: Provider Enrollment Office

Schedule: 40 hours

JOB REQUIREMENTS

EDUCATION:

• Associates degree or equivalent experience.

• Bachelor’s degree preferred.

EXPERIENCE:

• 1 - 3 years' experience in a healthcare system, group practice, Medical Staff Office, credentials verification organization or health plan; or related experience.

KNOWLEDGE AND SKILLS:

• Knowledge of provider credentialing and/or enrollment required.

• 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 Websites

• Promotes and maintains a professional demeanor both personally and professionally

• Able to function independently and perform routine department procedures without supervision.

• Must have proven ability to maintain sensitive and confidential information.

Compensation Range:

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. 

NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.