Top 15 Credentialing specialist Jobs in Waltham, Ma

Medical Staff Office Specialist
Beth Israel Lahey Health —Woburn, MA
- $31.63 - $41.73 an hour
- Full-time
- Hospital
- Customer service
- Mid-level
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
5d
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
Credentialing Specialist
One Federal Solution —Boston, MA
- Customer service
- Mid-level
- Administrative experience
Quick Apply
Credentialing Specialist
VITRA Health —Boston, MA
- Full-time
- Bilingual
- Background check
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
6d
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
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
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
13d
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

Discover related jobs

Based on your search for credentialing specialist jobs.

Onboarding & Credentialing Coordinator
CHILD & FAMILY SERVICES INC —New Bedford, MA
Child & Family Services carefully considers a wide range of factors when determining compensation including, but not limited to, prior experience, education,…
$24 - $26 an hour
Quick Apply
PhysioNet Assistant
MIT —Cambridge, MA
REQUIRED: High school diploma or equivalent; demonstrated ability to review information carefully and follow established procedures with strong attention to…
$23.50 - $30.60 an hour

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

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
11d
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
4d

Show more jobs in cities nearby

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

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

credentialing specialist jobs near waltham, ma

Credentialing Specialist jobs in Boston, MA

Credentialing Specialist jobs in Dallas, TX

Peer Support Specialist jobs in Connecticut

Credentialing Specialist jobs in Plano, TX

Credentialing Specialist jobs in Rhode Island

Reading Specialist jobs in Massachusetts

Credentialing Remote jobs in Maryland

Credentialing Specialist jobs in St. Louis, MO 63122

Fraud Specialist jobs in Dallas, TX

Orientation Mobility Specialist jobs in California

Operations Support Specialist jobs in Atlanta, GA

Credentialing Specialist jobs in Woonsocket, RI

Credentialing Specialist jobs in Fairmont, WV

Early Intervention Specialist jobs in Indiana

Credentialing Specialist jobs in Seguin, TX

Credentialing Specialist jobs in Pembroke Pines, FL

Credentialing Specialist jobs in Seattle, WA

Early Intervention Specialist jobs in Los Angeles, CA

Credentialing Specialist jobs in Massachusetts

Credentialing Specialist jobs in New York, NY

Medical Staff Office Specialist

Beth Israel Lahey Health -
Woburn, MA

Apply Now

Job Details

Full-time
$31.63 - $41.73 an hour

Qualifications

Medical software
Customer service
Maintaining patient confidentiality
High school diploma or GED
Data interpretation
Computer skills

Full Job Description

WOBURN, MA • Beth Israel Lahey Health • 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 BILH Medical Staff Services Director, processes the appointment and reappointment applications for all members of the Medical Staff in accordance with State and Federal regulations and TJC standards. Facilitates the business of the clinical departments of the medical staff. Assists in performing the various operational functions of Medical Staff Services.

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.

Organizational Requirements:

Maintain strict adherence to the BILH Confidentiality policy.
Incorporate BILH Standards of Behavior and Guiding Principles into daily activities.
Comply with all BILH policies and with behavioral expectations of BILH.
Maintain courteous and effective interactions with colleagues, providers, and BILH leadership.
Demonstrate an understanding of the job description, performance expectations, and competency assessment.
Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to BILH customer service standards.
Participate in departmental and/or interdepartmental quality improvement activities. Participate in and successfully completes mandatory education.
Perform all other duties as needed or directed to meet the needs of the department.

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: JR97042

Apply Now

Refine Your Search

credentialing specialist jobs in waltham, ma

Medical Staff Office Specialist

Insurance Credentialing and Billing Support Specialist - Part Time

Provider Enrollment & Credentialing Specialist

Credentialing Specialist

Credentialing Specialist

Enrollment Specialist, BILH Performance Network

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

Enrollment Specialist- Managed Care Provider Enrollment

HSPD-12: Government Badging & Credentialing Specialist

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

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

Discover related jobs

Explore jobs in cities nearby

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

Explore jobs in more locations

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

Job Seeker Tools

Employer Tools

Browse

Stay Connected