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Founded in 1980, BMC Software is a privately-held, business-to-business (B2B) software firm serving companies in the healthcare, financial services, retail, tel
Credentialing & Enrollment Coordinator
Location
United States
Posted
48 days ago
Salary
$21 - $30 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Credentialing & Enrollment Coordinator
BMC Software
Role Description Under the supervision of the Director, Medical Affairs & Credentialing and Manager of Provider Enrollment, is responsible for the timely credentialing for all Medical-Dental Staff and enrollment of all new and existing practitioners with third party payors. - Requests and obtains provider data. - Maintains provider information in existing computer software systems. - Requires strong organizational skills and attention to detail. - Ability to work in a varied and busy atmosphere. - Independently organize and prioritize workload to support the goals of the Boston Medical Center Health System. - Maturity, discretion, and ability to maintain confidentiality are of utmost importance. Qualifications - Associates degree or equivalent experience. - Bachelor’s degree preferred. - 1 - 3 years' experience in a healthcare system, group practice, Medical Staff Office, credentials verification organization, or health plan; or related experience. Requirements - Knowledge of provider credentialing and/or enrollment required. - Ability to work well with all levels of personnel to establish and maintain harmonious working relationships. - Strong communication, time management, and organizational skills required. - Ability to prioritize duties and meet deadlines. - Ability to consolidate information from various sources. - Ability to identify problems in the credentialing and enrollment process. - Strong problem-solving skills needed to resolve any issues as they arise. - Proficiency with Microsoft Office applications (i.e. MS Word, Excel, Access, PowerPoint, Outlook) and web browsers. - Experience with CAQH system and third-party insurance websites. - Promotes and maintains a professional demeanor both personally and professionally. - Able to function independently and perform routine department procedures without supervision. - Proven ability to maintain sensitive and confidential information. Benefits - Compensation Range: $21.39 - $30.05. - Generous total compensation that includes benefits (medical, dental, vision, pharmacy). - Discretionary annual bonuses and merit increases. - Flexible Spending Accounts. - 403(b) savings matches. - Paid time off. - Career advancement opportunities. - Resources to support employee and family well-being.
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