Credentialing & Enrollment Coordinator - Boston Medical Center
Boston, MA 02118
About the Job
Boston Medical Center (BMC) is more than a hospital. It's a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all-and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.
Position: Credentialing & Enrollment Coordinator
Department: Provider Enrollment Office
Schedule: Full Time
POSITION SUMMARY:
Under the supervision of the Associate Director of Medical Staff Office & Provider Enrollment, is responsible for the timely enrollment of all new and existing Boston University Medical Group 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 Boston University Medical Group. Maturity, discretion and an ability to maintain confidentiality are of utmost importance.
JOB REQUIREMENTS
EDUCATION:
Associates degree or equivalent experience. Bachelor's degree preferred.
EXPERIENCE:
Requires 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 administration experience may be substituted for the required experience.
KNOWLEDGE AND SKILLS:
Req id: 30861
Position: Credentialing & Enrollment Coordinator
Department: Provider Enrollment Office
Schedule: Full Time
POSITION SUMMARY:
Under the supervision of the Associate Director of Medical Staff Office & Provider Enrollment, is responsible for the timely enrollment of all new and existing Boston University Medical Group 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 Boston University Medical Group. Maturity, discretion and an ability to maintain confidentiality are of utmost importance.
JOB REQUIREMENTS
EDUCATION:
Associates degree or equivalent experience. Bachelor's degree preferred.
EXPERIENCE:
Requires 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 administration experience may be substituted for the required experience.
KNOWLEDGE AND SKILLS:
- Knowledge of provider credentialing and/or enrollment required
- 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 websites 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.
Req id: 30861
Source : Boston Medical Center