Mass General Brigham
10,000+ employees
📚 Education
🔬 Science
⚕️ Healthcare Insurance
Education • Science • Healthcare Insurance
Mass General Brigham is a large integrated academic healthcare system centered in Massachusetts that operates world-class hospitals, community health centers, and virtual care services, providing comprehensive patient care across specialties. It conducts extensive clinical and biomedical research, running thousands of clinical trials and advanced institutes in areas like gene and cell therapy and personalized medicine. The organization also provides medical education and training programs, workforce development, and operates a health plan and innovation/commercialization activities.
Provider Enrollment Coordinator
🕒 June 18
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Mass General Brigham
10,000+ employees
📚 Education
🔬 Science
⚕️ Healthcare Insurance
Education • Science • Healthcare Insurance
Mass General Brigham is a large integrated academic healthcare system centered in Massachusetts that operates world-class hospitals, community health centers, and virtual care services, providing comprehensive patient care across specialties. It conducts extensive clinical and biomedical research, running thousands of clinical trials and advanced institutes in areas like gene and cell therapy and personalized medicine. The organization also provides medical education and training programs, workforce development, and operates a health plan and innovation/commercialization activities.
📋 Description
• Responsible for the coordination and overall tracking of the provider enrollment process • Reviews and screens all credentialing applications for completeness, accuracy, and compliance with federal, state, local, and company regulations, guidelines, policies, and standards • Ensures primary source verification and that all documents are accurate and complete relative to credentialing standards • Problem-solves discrepancies, time gaps, and other idiosyncrasies that could adversely impact the 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 • Reviews reports and scoring required by regulatory and accrediting agencies, policies, and standards • Provides guidance and supervision of specialists throughout the credentialing process
🎯 Requirements
• Associate's Degree Related Field of Study preferred or Bachelor's Degree Related Field of Study preferred • 5-7 years Medical Office/Healthcare Experience required • 3-5 years Provider Enrollment Experience required • Knowledge of provider enrollment policies, processes, procedures, and documentation • 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 • Strong organizational and project management skills
🏖️ Benefits
• Competitive base pay • Comprehensive benefits • Career advancement opportunities • Differentials • Premiums and bonuses as applicable • Recognition programs designed to celebrate your contributions and support your professional growth
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