Credentialing Coordinator

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

Responsible for providing administrative support to the credentialing program ensuring that medical staff members maintain current credentials and licenses to work legally in their field or specialty. Responsible for monitoring upcoming renewal dates and working with medical staff to advise them of the required steps to maintain their credentials.

Essential Functions

Reviews and screens initial and reappointment credentialing applications for completeness accuracy and compliance with federal state local and company regulations guidelines policies and standards.

Conducts primary source verification collects and validates documents to ensure accuracy of all credentialing elements; assesses completeness of information and qualifications relative to credentialing standards.

Identifies analyzes and resolves extraordinary information discrepancies time gaps and other idiosyncrasies that could adversely impact 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.

Enters updates and maintains data from provider applications into credentialing database.

Prepares issues electronically tracks and follows-up on appropriate verifications for efficient high-volume processing of individual applications in accordance with applicable credentialing standards.

Prepares reports and scoring required by regulatory and accrediting agencies policies and standards.

Performs other duties as assigned

Complies with all policies and standards

Education

• Associates Degree Related Field of Study required Bachelors Degree Related Field of Study preferred

Experience

• 1 - 2 years of experience in Clinical/Medical Office/Healthcare required and 1 - 2 years of Credentialing/Accreditation experience preferred

Knowledge Skills and Abilities

• Knowledge of medical provider credentialing and accreditation principles policies processes procedures and documentation.
• Knowledgeable in clinical and/or hospital operations and procedures.
• 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.

Remote

399 Revolution Drive

40

Regular

Day (United States of America)

Pay Range

$19.42 - $27.74/Hourly

Grade

3

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 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 package.

0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

Mass General Brigham Competency Framework