Job details

Credentialing Coordinator

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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

The Credentialing Coordinator is primarily responsible for tracking and maintaining credentialing expirable
documents. Responsible for the administrative duties required for the credentialing verification process. The Credentialing Cooridinator also assists with activities associated with physician and advanced practice provider’s credentialing and recredentialing. Reviews, enters, and maintains credentialing information in the MGB Enterprise credentialing system. Ensures the credentialing process complies with organizational as well as accrediting agency, Federal and State regulatory standards.

Principle Duties and Responsibilities

- Track and maintain credentialing expiring documents including, but not exhaustive: medical licenses, professional licenses, MCSR, DEA, Insurance, ACLS, BLS, PALS, and NRP
- Compare primary source verified information with the information within the electronic record and enter data in the Enterprise credentialing system accurately
- Provide Credentialing Director with weekly updates on any missing or delinquent items as part of the expirable process
- Utilize credentialing websites to obtain primary source verifications
- Run reports to identify non-compliant items and run system verifications, if needed
- Responsible for maintaining the integrity of provider data in the Enterprise credentialing system through ongoing monitoring and by ensuring data is entered and updated accurately
- Identify issues that require additional investigation and evaluations
- 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 Credentialing Specialist with initial and reappointment application in accordance with the CCO policies and procedures
- Performs routine credentialing application audits for quality, completeness, and accuracy of data
- Assist with verifing credentialing elements, including but not limited to, education, training, board
certification, work history, licensure and certifications, malpractice coverage
- Assist Credentialing Specialists with following-up on missing data to ensure that the credentialing application is completed within an established time frame
- Analyze application material to assure that providers data is accurate in the electronic records
- Complete special projects as assigned
- General administrative tasks and other duties as assigned

Possible local travel to Mass General Brigham sites

Qualifications

High school diploma or equivalent. Associate’s or Bachelor’s Degree in a related field preferred
One year of experience in credentialing services or related field

Skills, Abilities and Competencies

Working knowledge of general office practices, software applications and database management
Demonstrated understanding of credentialing policies
Organizational skills required to handle high data flow and to prioritize tasks in order to meet deadlines
Ability to manage demanding workload; self-motivated; able to carry out responsibilities with minimum
supervision
Analytical skills necessary to determine whether correct and complete information was provided on applications.
Able to concentrate on tasks, paying meticulous attention to detail regardless of distractions
Possesses ability to manage specialized database including producing credentialing reports
Adheres to professional confidentiality standards in accordance with legal, ethical, and departmental policies
Handles sensitive and confidential situations/information, with a high degree of tact and diplomacy
Communicates effectively and professionally with applicants or colleagues by telephone or in person

Additional Job Details (if applicable)

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

Employee Type

Regular

Work Shift

Day (United States of America)

EEO Statement:

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 Veteran’s 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 (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Average salary estimate

$60000 / YEARLY (est.)

min

max

$50000K

$70000K

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What You Should Know About Credentialing Coordinator, Mass General Brigham

If you’re looking for a rewarding opportunity to make a difference in healthcare, consider the role of Credentialing Coordinator at Mass General Brigham in Somerville, MA. In this position, you'll be at the heart of our mission, ensuring that our healthcare providers meet the highest standards of professionalism and compliance. As a Credentialing Coordinator, you'll be responsible for tracking and maintaining essential documents, like medical licenses and certifications, and ensuring everything is in line with state and federal regulations. You’ll get to collaborate closely with physicians, allied health professionals, and other team members, making sure the credentialing process runs smoothly. Imagine being the go-to person for managing credentialing information in our MGB Enterprise system, working diligently to keep everything accurate and up-to-date. Your role will involve running compliance reports, communicating with various stakeholders, and even conducting application audits for quality assurance. If you thrive in fast-paced environments and have a keen eye for detail, this job could be the perfect fit. Plus, at Mass General Brigham, we value dedication to patient care and support for professional growth. With opportunities for continued education and advancement, joining our team means becoming part of something bigger. Come help us drive groundbreaking medical discoveries and ensure that our healthcare providers are ready and credentialed to offer the best care possible!

Frequently Asked Questions (FAQs) for Credentialing Coordinator Role at Mass General Brigham

What are the key responsibilities of a Credentialing Coordinator at Mass General Brigham?

As a Credentialing Coordinator at Mass General Brigham, your key responsibilities include tracking expiring documents such as medical licenses and certifications, updating credentialing information in the Enterprise system, and ensuring compliance with all regulatory standards. You'll also assist with initial applications and manage communication with healthcare professionals, making sure that the credentialing process is both efficient and effective.