Credentialing & Enrollment Coordinator, Provider Enrollment

Position: Credentialing & Enrollment Coordinator Department: Provider Enrollment Schedule: Full Time, 40 hours, Days 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. JOB REQUIREMENTS EDUCATION: Associates degree or equivalent experience. Bachelor’s degree preferred. EXPERIENCE: Requires 1 - 3 years experience in a healthcare system, group practice, Medical Staff Office, credentials verification organization or health plan. 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. Equal Opportunity Employer/Disabled/Veterans Working at Boston Medical Center is more than a job. It’s a chance to make a difference as part of our mission to provide exceptional and equitable care to all. As a nationally-recognized leader in health equity, nursing, initiatives to combat climate change, and many other areas, BMC is dedicated to improving the health of our community in Boston and beyond. BMC’s mission to provide exceptional care without exception extends to our employees, and we have been recognized as a top employer and best place to work. A strong sense of teamwork and support for our staff are the bedrock of BMC, as we know that we can only provide exceptional care to patients when our staff are cared for too. Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to Talentacquisition@bmc.org or call 617-638-8582 to let us know the nature of your request. Boston Medical Center participates in the Electronic Employment Verification Program. As an E-Verify employer, prospective employees of BMC must complete a background check before beginning their employment at the hospital. BMC requires all staff to be vaccinated against COVID-19 and flu, as well as receive a booster dose of the COVID-19 vaccine. 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. To avoid becoming a victim of an employment offer scam, please follow these tips from the FTC: FTC Tips