Top 15 Credentialing specialist Jobs in Cambridge, Ma

Medical Staff Office Specialist – Cambridge
Beth Israel Lahey Health —Cambridge, MA
- $31.63 - $41.73 an hour
- Full-time
- Hospital
- Mid-level
- Office
21h
Credentialing Specialist I
Boston Children's Hospital —Boston, MA
- $22.35 - $35.76 an hour
- Full-time
- Writing skills
- Mid-level
- 1 year
2d
Provider Enrollment & Credentialing Specialist
Optum —Boston, MA
- $18 - $32 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- Pass drug screening
- HIPAA
- AD&D insurance
- Employee stock purchase plan
Medical Staff Office Specialist
Beth Israel Lahey Health —Woburn, MA
- $31.63 - $41.73 an hour
- Full-time
- Hospital
- Customer service
- Mid-level
Credentialing Specialist
One Federal Solution —Boston, MA
- Customer service
- Mid-level
- Administrative experience
Quick Apply
HSPD-12: Government Badging & Credentialing Specialist (Boston, MA*)
Citizant Inc —Boston, MA
- $47,000 - $56,300 a year
- Full-time
- Administrative experience
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
Credentialing Specialist
VITRA Health —Boston, MA
- $57,000 - $62,000 a year
- Full-time
- Bilingual
- Background check
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
12d
Enrollment Specialist, BILH Performance Network
Beth Israel Lahey Health —Westwood, MA
- $21.28 - $32.55 an hour
- Full-time
- Mid-level
- Databases
- Bachelor's degree
Enrollment Specialist- Managed Care Provider Enrollment
Beth Israel Lahey Health —Wakefield, MA
- $21.28 - $32.55 an hour
- Full-time
- Mid-level
- Databases
- Bachelor's degree
Insurance Credentialing and Billing Support Specialist - Part Time
Communities For People, Inc —Boston, MA
- $28 an hour
- Part-time
- Background check
- Bachelor of Science
- High school diploma or GED
- Free parking
- Health insurance
Quick Apply
11d
HSPD-12: Government Badging & Credentialing Specialist
Electrosoft —Andover, MA
- $30,000 - $40,000 a year
- Mid-level
- Administrative experience
- High school diploma or GED
Quick Apply
HSPD-12: Government Badging & Credentialing Specialist (Andover*)
Citizant Inc —Andover, MA
- $21.28 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
HSPD-12: Government Badging & Credentialing Specialist (Andover: Traveler*)
Citizant Inc —Andover, MA
- $21.28 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Travel
- Disability insurance
- Health insurance
Quick Apply

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Credentialing Specialist I
Boston Children's Hospital —Boston, MA
Associate’s degree in the field of Medical Staff Services Science, Health Care Administration or a closely related field, or one year of basic technical…
$22.35 - $35.76 an hour
2d
Credentialing Specialist/Coordinator
Family Health Center —Worcester, MA
Excellent computer skills including Excel, Word, and Internet navigation for State, Federal sites and healthplan searches.
$26 - $28 an hour
Quick Apply

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Credentialing Specialist
Integrated Services for Behavioral Health —Columbus, OH
A valid driver's license and the ability to operate a motor vehicle is required. A bachelor’s degree in accounting, credentialing, or a related field is…
$23.85 - $28.02 an hour
Quick Apply
Provider Enrollment & Credentialing Subject Matter Expert (SME)
Brittany Wyche, LLC —Columbus, OH
Review current-state and future-state process designs. Support assessment of intake, validation, credentialing, approval/certification, monitoring, and…
$75 - $110 an hour
Quick Apply
10d

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Medical Staff Office Specialist – Cambridge

Beth Israel Lahey Health -
Cambridge, MA

Apply Now

Job Details

Full-time
$31.63 - $41.73 an hour
21 hours ago

Qualifications

Confidential information handling
Medical software
High school diploma or GED
Data interpretation
Computer skills

Full Job Description

Cambridge, MA • Mount Auburn Hospital • Full-time • Day

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

The Medical Staff Services Specialist, will support the CVO Office at Mount Auburn Hospital in Cambridge, MA. This will be a hybrid opportunity following the orientation period.

Job Description:

Essential Duties & Responsibilities including but not limited to:

Independently manages credentialing applications for initial appointment and reappointment, including application intake, validation, primary source verification, analysis, and ongoing status management.
Conducts and evaluates primary source verification activities, performing detailed analysis of application and verification data to ensure accuracy, completeness, and compliance with regulatory, accreditation, and organizational requirements.
Identifies, evaluates, and escalates red flag, adverse, or inconsistent information to leadership in accordance with established policies, exercising sound professional judgment to support appropriate review and resolution.
Maintains complete, accurate, and audit-ready electronic credentialing files, ensuring data integrity, documentation quality, and compliance with internal standards and external audit requirements.
Ensures timely and accurate file completion in accordance with established turnaround time and service level standards.
Ensures the integrity, accuracy, and timeliness of data entered into databases and associated systems.
Prepares credentialing files for internal quality review, peer audit, committee consideration, and submission to assigned hospitals, ensuring adherence to established quality and timeliness standards.
Participates in peer-to-peer file audits and quality review activities, contributing to consistency, compliance, and continuous process improvement.
Communicates effectively with Medical Staff Service leadership and other stakeholders regarding application status, barriers and resolution needs to support efficient workflow and service expectations.
Maintains a working knowledge of applicable regulatory and accreditation standards (e.g., NCQA, The Joint Commission, DNV), state and federal requirements.
Participates in special projects and cross-functional initiatives as assigned.
Consistently works toward achievement of individual, team, and departmental goals and performance metrics.

Minimum Qualifications:
Education:
High School Diploma or equivalent required; Associate’s or Bachelor’s degree preferred.

Experience:
Minimum 1–3 years of healthcare administration, medical staff services, credentialing, provider enrollment or related experience; 2 years in a hospital MSO or CVO environment preferred.

Licensure, Certification & Registration:

NAMSS Certified Professional Credentialing Specialist (CPCS) preferred.

Skills, Knowledge & Abilities:

Working knowledge of medical staff/credentialing standards and regulatory requirements (e.g., Joint Commission, DNV, CMS, NCQA, state regulations).
Strong attention to detail, organizational, and time management skills.
Ability to analyze information, identify issues, and exercise sound judgment.
Excellent written and verbal communication and customer service skills.
Ability to work independently and collaboratively in a fast-paced, deadline-driven environment.
Proficiency with credentialing databases, electronic systems, and standard office software.
Demonstrated ability to maintain confidentiality and handle sensitive information with discretion.

Pay Range:

$31.63 – $41.73

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

Job details

Employment: Full-time
Hours/Week: 40
Shift: Day
Category: Professional Education
Pay Range: $31.63 - $41.73
FLSA: Non-Exempt
Req ID: JR90859

Apply Now

Refine Your Search

credentialing specialist jobs in cambridge, ma

Medical Staff Office Specialist – Cambridge

Credentialing Specialist I

Provider Enrollment & Credentialing Specialist

Medical Staff Office Specialist

Credentialing Specialist

HSPD-12: Government Badging & Credentialing Specialist (Boston, MA*)

Credentialing Specialist

Enrollment Specialist, BILH Performance Network

Enrollment Specialist- Managed Care Provider Enrollment

Insurance Credentialing and Billing Support Specialist - Part Time

HSPD-12: Government Badging & Credentialing Specialist

HSPD-12: Government Badging & Credentialing Specialist (Andover*)

HSPD-12: Government Badging & Credentialing Specialist (Andover: Traveler*)

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I want to receive the latest job alert for credentialing specialist in cambridge, ma

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As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

Job details

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