Enrollment and Credentialing Specialist - Great Location
Location: Boston
Posted on: October 29, 2024
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Job Description:
This Enrollment And Credentialing Specialist Position
Features:
? Great Location
? Professional Work Environment
? Growth Opportunities
? Great Pay
Immediate need for enrollment and credentialing specialist seeking
great location, professional work environment and growth
opportunities. Credentialing experience, medical terminology and
enrollment experience will be keys to success in this stable
organization. Will be responsible for ?Performs credentialing and
re-validation activities for prospective and current MassHealth
providers according to established guidelines. Duties include;
reviewing provider applications, applying policy and criteria based
on provide type, performing source verifications and processing
provider files. Ensures provider compliance in regards to licensing
and sanction information with all accrediting organizations and
regulatory agencies including;
Maintain provider updates as requested, verifying data and entering
information. Completes all documentation and data entry in a timely
and accurate fashion.
?Follows regulation time frames and procedural guidelines for
processing applications, updates and disenrollment activities
according to company and contract standards.
?Responds to all provider enrollment related inquiries and requests
in a timely and thorough fashion. Maintains professional
interactions with providers, persistently following up on missing
enrollment information and required documentation to complete
file.
?Communicates to providers any regulations and certification
changes that affect file maintenance or membership, obtaining
necessary documentation from providers for processing.
Communicates provider problems, inquiries or issues that cannot be
resolved independently through the appropriate channels for
resolution.
Great benefits. Apply for this great position as a enrollment and
credentialing specialist today! We are an equal employment
opportunity employer and will consider all qualified candidates
without regard to disability or protected veteran status.
Keywords: , New Bedford , Enrollment and Credentialing Specialist - Great Location, Professions , Boston, Massachusetts
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