Top 9 Credentialing specialist Jobs in Canton, Ma

Enrollment Specialist- Managed Care Provider Enrollment | Remote Position
Beth Israel Lahey Health —Wakefield, MA
- $21.28 - $32.55 an hour
- Full-time
- Remote
- Mid-level
- Databases
- Bachelor's degree
4d
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
20h
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
Physician and APP Onboarding Specialist
Beth Israel Lahey Health —Burlington, MA
- $75,000 - $90,000 a year
- Full-time
- Research
- Mid-level
- Office
14d
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
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
7d
Credentialing Specialist (Full Time)
Community Care Alliance —Woonsocket, RI
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Continuing education credits
- 403(b) matching
HSPD-12: Government Badging & Credentialing Specialist
Electrosoft —Boston, MA
- $30,000 - $40,000 a year
- Mid-level
- Administrative experience
- High school diploma or GED
Quick Apply
12d

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Enrollment Specialist, BILH Performance Network
Beth Israel Lahey Health —Westwood, MA
Prior to opening or acquisition of groups/locations submits enrollment applications to appropriate state(s) Medicare/Medicaid programs.
$21.28 - $32.55 an hour
20h
Senior Learning Specialist (MassLINKS Full Time Humanities Instructor)
Mount Wachusett Community College —Leominster, MA
Maintain appropriate student data including proof of academic progress and samples of completed work and utilize that data to increase access to curriculum and…
$78,818 - $134,343 a year

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Credentialing Specialist-(Day)FT
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Must possess a valid National Association Medical Staff Services (NAMSS) Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified…

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Enrollment Specialist- Managed Care Provider Enrollment | Remote Position

Beth Israel Lahey Health -
Wakefield, MA

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Job Details

Full-time
$21.28 - $32.55 an hour
4 days ago

Qualifications

Technical Proficiency

Full Job Description

Wakefield, MA • Beth Israel Lahey Health Performance Network • 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.

Under the direction of the Manager, Provider Enrollment and Reporting, the government payer Enrollment Specialist is responsible for the enrollment of both individual providers and groups/locations with non-commercial payers (Medicare, Medicaid).

Job Description:

The provider enrollment process ensures that the appropriate provider enrollment numbers are obtained for both individual providers and groups/locations enabling the organization to bill provider charges in a timely manner and ensure clinicians have the ability to order, refer, and prescribe as necessary. This includes initiating the enrollment process from notification that a new individual providers or groups/locations will be added to the network and collaborating with multi-disciplinary on-boarding group and the practitioner to complete the application process.

The position also includes responsibility for ensuring that the re-verification process and any interim or re-credentialing activities required by government payers occurs to ensure continuous, uninterrupted participation status for all both individual providers and groups/locations. This position maintains up to date and thorough knowledge of non-commercial payer enrollment obligations at the State and Federal level.

1. Completes the government payer enrollment process for all new individual providers and groups/locations within established timeframes.

2. Obtains information needed for government payer application process from individual providers as well as leveraging information on file, already available within Medical Staff Administration and/or network development staff.

3. Completes maintenance updates and re-verification/re-validation for all both individual providers and groups/locations within established timeframes.

4. Maintains and updates data on both individual providers and groups/locations including, but not limited to name changes, office location and demographic changes, linking practitioners to new groups, TINs.

5. Responsible for populating and updating various databases, internal and external, to accurately reflect non-commercial (government) payer participation and related data.

6. Prior to each Credentials Committee meeting or approval of applicants by the Credentials Committee; submits enrollment applications to appropriate state(s) Medicare/Medicaid programs.

7. Prior to opening or acquisition of groups/locations submits enrollment applications to appropriate state(s) Medicare/Medicaid programs.

EDUCATION

Bachelor's Degree or equivalent education and experience.

EXPERIENCE

Minimum of 2-3 years experience in non-commercial payer enrollment.

Provider enrollment technical proficiency, effective and professional communication skills.

LICENSURE

CPCS or PESC Certification preferred but not required

Pay Range:

$21.28 – $32.55

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: Payer Relations
Pay Range: $21.28 - $32.55
FLSA: Non-Exempt
Req ID: JR100576

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Refine Your Search

credentialing specialist jobs in canton, ma

Enrollment Specialist- Managed Care Provider Enrollment | Remote Position

Enrollment Specialist, BILH Performance Network

Provider Enrollment & Credentialing Specialist

Physician and APP Onboarding Specialist

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

Medical Staff Office Specialist

Credentialing Specialist

Credentialing Specialist (Full Time)

HSPD-12: Government Badging & Credentialing Specialist

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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

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