Provider Enrollment Coordinator 1

Mass General Brigham; Somerville (MA); Remote; USD 50,000 - 70,000; Full time

Job summary

Mass General Brigham recherche un spécialiste de l'inscription des prestataires pour améliorer l'intégrité des données et contribuer à des soins de santé exceptionnels. Ce poste offre des possibilités d'avancement, des heures de travail régulières et un environnement de travail flexible, soutenant la collaboration et l'équilibre travail-vie personnelle.

Qualifications

• 1-2 ans d'expérience dans un environnement de soins de santé ou d'assurance.
• Connaissance des politiques de contrat en gestion des soins.
• Capacité à interagir avec divers acteurs tout en maintenant une image professionnelle.

Responsibilities

• Traitez toutes les transactions d'inscription des prestataires.
• Mettez à jour les informations des prestataires dans le système de traitement des réclamations.
• Coordonnez avec divers départements pour résoudre les problèmes d'inscription.

Skills

Communication

Gestion de projet

Connaissance des régulations d'assurance

Education

High School Diploma or GED equivalent

Tools

Microsoft Office

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely from most U.S. states
- Supportive and collaborative work environment
- Chance to improve data integrity and contribute to exceptional patient care
- Regular working hours with a focus on work-life balance

What to Expect (Job Responsibilities):
- Process all provider enrollment transactions within the Provider Enrollment Portal (PEP), including new contracts and demographic changes
- Maintain and update provider information in the claim processing system (QNXT)
- Coordinate with various departments to resolve enrollment issues and track provider transactions
- Maintain provider status lists and provide regular updates to larger provider organizations
- Respond to inquiries regarding the status of provider enrollment transactions

What is Required (Qualifications):
- High School Diploma or GED equivalent
- At least 1-2 years of experience in a healthcare and/or insurance environment
- Knowledge of insurance regulations and managed care contract policies
- Excellent communication and project management skills
- Proficiency in Microsoft Office, including Outlook, Word, Excel, and PowerPoint

How to Stand Out (Preferred Qualifications):
- 1-2 years of provider enrollment experience
- Familiarity with the QNXT operating system
- Strong aptitude for technology-based solutions
- Ability to maintain a professional image and attitude while interacting with various stakeholders

#HealthcareServices #ProviderEnrollment #RemoteWork #CareerOpportunity #DataIntegrity

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About the company

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