Credentialing, Enrollment & Education Coordinator

Hsmc1; Milford (MA); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Medical & Dental

401K Retirement Plan

Flexible Spending Plan

Voluntary Benefits

Paid Time Off

Professional Development

Job summary

HSMC is seeking a Credentialing, Enrollment and Education Coordinator to collect and retain provider records for credentialing and enrollment with payers. You will support education and training activities to build competencies and create growth paths for staff.

The role requires attention to detail, strong communication, and proficiency in Microsoft Office; hybrid work becomes available after probation and commuting to Milford, MA is expected.

Qualifications

• High school diploma required.
• Bachelor's degree preferred.
• One year of related experience preferred.
• CPCS certification a plus.
• Strong attention to detail with ability to meet deadlines.
• Excellent verbal and written communication skills.
• Commitment to customer service.
• Proficiency in Microsoft Office Suite.
• Knowledge of provider enrollment software a plus.
• Ability to commute to Milford, MA.
• Eligibility for a hybrid work schedule after probation.

Responsibilities

• Collect, document, and retain provider records for credentialing and enrollment.
• Support revenue cycle management and timely access to care.
• Track and monitor education and training activities.
• Help staff maintain competencies and develop pathways for growth.

Skills

Attention to detail

Communication skills

Customer service

Time management

Commute to Milford

Hybrid work eligibility after prob.

Education

High School Diploma

Bachelor's degree preferred

Certified Credentialing Specialist (CPCS) a plus

Tools

Microsoft Office

Provider enrollment software

Job description

Responsibilities

Under the direct supervision of the Vice President of Credentialing, Education & Development, the Credentialing, Enrollment and Education Coordinator is responsible for collecting, documenting, and retaining provider records necessary to support the credentialing and enrollment process of providers with commercial insurance and governmental payers. This role has a high impact on revenue cycle management and operational efficiency as well as timely access to patient care from qualified providers.

The Credentialing, Enrollment and Education Coordinator is also responsible for performing administrative tasks to facilitate, track and monitor education and training activities to assist staff maintain competencies, build new skills, and create pathways for professional growth and development.

Requirements

• High School Diploma required.
• Bachelor's degree preferred.
• One year of experience in credentialing, provider enrollment, contracting or administrative support preferred.
• Certified Credentialing Specialist (CPCS) a plus.
• High level attention to detail with the ability to prioritize and meet deadlines on an ongoing basis to ensure timely completion of tasks according to process requirements.
• Strong verbal and written communication skills.
• Commitment to excellent customer service.
• Proficiency in Microsoft Office Suite.
• Knowledge of provider enrollment software a plus.
• In order to perform the duties of this position, applicants must be able to commute to our office in Milford, MA on a consistent basis.
• Eligibility for a hybrid work schedule will be assessed after successful completion of probationary period.

Benefits

• Medical & Dental
• 401K Retirement Plan
• Flexible Spending Plan
• Voluntary Benefits
• Paid Time Off
• Professional Development

Please visit our website at www.hsmc.org to learn more about our organization!

Selection for employment is made regardless of race, color, religion, creed, sex, sexual orientation, gender identity/expression, pregnancy or pregnancy-related condition, marital status, national origin, ancestry, age, disability, handicap, genetic information, someone who is a member of, applies to perform, or has an obligation to perform, service in a uniformed military service of the United States, including the National Guard, on the basis of that membership, application or obligation; veteran status, or any other bases protected by law. HSMC participates in E-Verify.