Credentialing Coordinator

Aspire Health Alliance; Braintree (MA); In loco; USD 32.000 - 38.000; Tempo pieno

Descrizione del lavoro

Aspire Health and Community Services seeks a detail-oriented HIM Records Specialist to support health information management, release of information, and credentialing processes. This role emphasizes accuracy, compliance, and collaboration with IT, Billing, and Program Managers.

The position includes on-site work with occasional travel, providing credentialing and data reporting support within a full-time, 40-hour framework. Compensation aligns with experience and licenses.

Competenze

• Demonstrated ability to learn and master basic concepts of medical record-keeping requirements.
• Excellent communications skills, written and verbal.
• Excellent customer service skills.
• Able to follow directions and work independently and as a member of a team.
• Concurrently handle multiple tasks and carry out multiple short- and long-term projects.
• Perform detailed work accurately and take initiative to learn new tasks.
• Strong analytic, critical thinking, interpersonal, and organizational skills.
• Ability to maintain confidentiality and handle highly sensitive information with discretion.
• Occasional travel to programs.

Mansioni

• Supports daily Health Information Management (HIM) operations.
• Responds to release of information requests, audits, and investigations in a timely and professional manner.
• Manages and processes paper medical records stored both on- and off-site.
• Coordinates with the off-site storage vendor to retrieve or manage records.
• Runs scheduled and ad hoc reports from the EHR system to monitor documentation completion and accuracy.
• Assists staff in understanding and using report data to improve documentation.
• Leads EHR error correction efforts and tracks resolution timelines.
• Conducts access audits and monitors usage patterns of the EHR.
• Assists in training new and existing staff on EHR functionality and documentation expectations.
• Helps develop and update training materials related to EHR and HIM procedures.
• Collaborates with IT, Billing, and Program Managers to troubleshoot and resolve documentation-related issues.
• Performs administrative support duties for credentialing processes.
• Assists in onboarding new staff by gathering and submitting required credentialing documentation.
• Serves as a liaison to the primary source verification vendor and tracks the progress of submitted credentials.
• Coordinates provider enrollment and roster management with contracted payers.
• Maintains credentialing and recredentialing records, ensuring licenses, certifications, and registrations remain current.
• Supports quality, compliance, operational, and financial initiatives through credentialing documentation and regulatory reporting.
• Assists with audits of clinical supervision documentation and compliance with organizational and regulatory requirements.
• Responds to internal and external inquiries from managers, staff, and regulatory bodies regarding credentialing.
• Contributes to department quality improvement and compliance initiatives.
• Participates in internal audits and special projects.
• Supports data validation and reporting related to quality measures and compliance indicators.

Conoscenze

Medical records basics

Communication skills

Customer service

Independent work

Multitasking

Formazione

Associate degree in health care administration or related field

Strumenti

Office 365

Descrizione del lavoro

Aspire Health and Community Services recognizes that attracting and retaining exceptional staff is the key to providing excellent care for our clients. Whether a staff member is providing direct care to those we serve or working on the administrative end supporting the services we are proud to provide, each person’s contribution is highly valued.

Our mission, vision and values are supported by organizational culture guiding the work for every staff member: We are one compassionate, accountable community.

Job Functions

• Supports daily Health Information Management (HIM) operations.
• Responds to release of information requests, audits, and investigations in a timely and professional manner.
• Manages and processes paper medical records stored both on- and off-site.
• Coordinates with the off-site storage vendor to retrieve or manage records.

EHR Oversight And Reporting

• Runs scheduled and ad hoc reports from the Electronic Health Record (EHR) system to monitor documentation completion and accuracy.
• Assists staff in understanding and using report data to improve documentation.
• Leads EHR error correction efforts and tracks resolution timelines.
• Conducts access audits and monitors usage patterns of the EHR.

Training And Collaboration

• Assists in training new and existing staff on EHR functionality and documentation expectations.
• Helps develop and update training materials related to EHR and HIM procedures.
• Collaborates with IT, Billing, and Program Managers to troubleshoot and resolve documentation-related issues.

Credentialing Support

• Performs administrative support duties for credentialing processes.
• Assists in onboarding new staff by gathering and submitting required credentialing documentation.
• Serves as a liaison to the primary source verification vendor and tracks the progress of submitted credentials.
• Coordinates provider enrollment and roster management with contracted payers.
• Maintains credentialing and recredentialing records, ensuring licenses, certifications, and registrations remain current.
• Supports quality, compliance, operational, and financial initiatives through credentialing documentation and regulatory reporting.
• Assists with audits of clinical supervision documentation and compliance with organizational and regulatory requirements.
• Responds to internal and external inquiries from managers, staff, and regulatory bodies regarding credentialing.

Quality And Compliance Support

• Contributes to department quality improvement and compliance initiatives.
• Participates in internal audits and special projects.
• Supports data validation and reporting related to quality measures and compliance indicators.

Minimum Knowledge And Skills Required

• Demonstrated ability to learn and master basic concepts of medical record-keeping requirements.
• Excellent communications skills, written and verbal.
• Excellent customer service skills.
• Able to follow directions and work independently and as a member of a team.
• Concurrently handle multiple tasks and carry out multiple short- and long-term projects.
• Perform detailed work accurately and take initiative to learn new tasks.
• Strong analytic, critical thinking, interpersonal, and organizational skills.
• Ability to maintain confidentiality and handle highly sensitive information with discretion.
• Intermediate proficiency with Office 365 applications.
• Occasional travel to programs

Education

• Associate degree in human service, health care administration, business administration, or related field preferred.

Experience

• 1 years’ experience in a health care or human service system preferred.

Compensation is based on candidate experience, qualifications, and certifications and licenses. Annual ranges listed are based on a full-time, 40 hours per week position.

Salary Range

$23.08 - $27.88 USD

Aspire Health and Community Services is committed to and passionate about diversity, equity, and inclusion. We celebrate, support, and promote diversity of thought, culture, and backgrounds. As an employer committed to equal opportunity, we base all employment decisions on each individual’s capabilities and qualifications, without regard to race, color, religious creed, national origin, ancestry, sex, sexual orientation, gender identity, age, physical or mental disability, veteran status, genetics, or any other protected characteristic. Aspire Health and Community Services strives to fully reflect the clients and communities we serve and believes that a diversity of interests and cultures leads to a stronger and more innovative organization.