Provider Enrollment Coordinator I

Mass General Brigham; Somerville (MA); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare provider in Massachusetts is seeking an individual for managing provider enrollment transactions. Responsibilities include coordinating with various departments and maintaining provider information. The role requires a Bachelor’s degree, 2-4 years of administrative experience, and proficiency in Microsoft Office. Opportunities for career growth and a comprehensive benefits package are included.

Benefits

Comprehensive benefits package

Career advancement opportunities

Supportive work environment

Qualifications

• 2-4 years of administrative experience, preferably in healthcare.
• Understanding of healthcare and insurance environments is preferred.
• Detail-oriented with a strong aptitude for technology.

Responsibilities

• Process all provider enrollment transactions.
• Coordinate with departments to resolve enrollment issues.
• Maintain and update provider information in systems.

Skills

Strong organizational skills

Proficiency in Microsoft Office

Knowledge of insurance regulations

Education

Bachelor’s degree or equivalent

Tools

Microsoft Office Suite

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:

• Salary up to $24.79/hour
• Opportunity for career advancement and growth within the organization
• Work remotely from most US states
• Comprehensive benefits package, including bonuses and recognition programs
• Supportive and collaborative work environment focused on diversity, equity, and inclusion
• Chance to be part of a mission-driven organization dedicated to exceptional patient care and community service

What to Expect (Job Responsibilities):

• Process all provider enrollment transactions within the Provider Enrollment Portal (PEP), including new contracts and demographic changes
• Coordinate with various departments to resolve enrollment issues and track provider transactions
• Maintain and update provider information within the claim processing system
• Respond to inquiries regarding the status of provider enrollment transactions
• Ensure data quality standards are met and continually seek opportunities for improvement

What is Required (Qualifications):

• Bachelor’s degree or equivalent combination of training and experience in a related field strongly preferred
• 2-4 years of administrative experience, with at least 2 years in a healthcare and/or insurance environment
• Knowledge of insurance regulations and managed care contract policies
• Proficiency in Microsoft Office, including Outlook, Word, Excel, and PowerPoint
• Strong organizational skills and ability to handle multiple tasks

How to Stand Out (Preferred Qualifications):

• Experience with provider enrollment processes
• Familiarity with the QNXT operating system
• Excellent interpersonal and project management skills
• Ability to establish rapport with individuals at all levels
• Detail-oriented with a strong aptitude for technology-based solutions