Credentialing Specialist

Site: Mass General Brigham Incorporated

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

Job Summary

Assists with all functions related to the credentialing and re-credentialing process for physicians and allied health personnel.

Essential Functions

-Assist with activities associated with physician and advanced practice provider’s credentialing and recredentialing; track and maintain credentialing expiring documents

-Maintain the integrity of provider data in the enterprise credentialing system by ensuring data is entered and updated accurately

-Communicate with internal and external physicians, allied health professionals, other healthcare professionals and managers regarding questions or issues in an effort to gather and maintain credentialing information

-Assist with initial and reappointment application in accordance with policies and procedures; ensure that the credentialing application is completed within an established time frame

-Perform routine credentialing application audits for quality, completeness, and accuracy of data, identify non-compliant items, and identifies issues that require additional investigation and evaluations

-Utilize credentialing websites to obtain primary source verifications, and assist with verifying credentialing elements

-Maintain competency on nationally recognized credentialing related initiatives through participation with NAMSS and MAMSS, journal articles, online education, webinars and other industry related news

 

Education

• High School Diploma or Equivalent required or Associate's Degree Related Field of Study preferred

Experience

• 3-5 years of experience in credentialing or a related field required

Knowledge, Skills and Abilities

• Working knowledge of general office practices and software applications and database management.
• Demonstrated understanding of credentialing policies and procedures, as well as accreditation and regulatory requirements relating to the medical staff.
• Strong organizational skills.
• Ability to manage demanding workload; self-motivated; able to carry out responsibilities with minimum supervision.
• Strong analytical skills.
• Strong interpersonal skills.
• Ability to successfully negotiate and collaborate with others of different skill sets, backgrounds and levels within and external to the organization.

 

 

Remote

 

399 Revolution Drive

 

40

 

Regular

 

Day (United States of America)

 

Pay Range

$25.50 - $36.49/Hourly

 

Grade

5

 

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits pac