Provider Enrollment & Credentialing Specialist — Hybrid

Overture Partners

Boston (MA)

Hybrid

USD 65,000 - 90,000

Full time

6 days ago
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Benefits offered by this job

Medical plans selection (3 options)
401(k) with company matching
Life and disability insurance
Sick time as required by law

Job summary

Overture Partners in Boston, MA is seeking a Provider Operations Specialist to manage provider enrollment, credentialing, and revalidation workflows. You will coordinate with providers and internal teams to obtain materials, verify information, and maintain accurate records while meeting deadlines.

The role emphasizes attention to detail, strong documentation skills, familiarity with Microsoft Office, and the ability to handle multiple requests in a fast-paced healthcare environment.

Qualifications

  • 3+ years in provider enrollment, credentialing, provider relations, or similar healthcare ops.
  • Hands-on experience managing provider records, enrollment materials or credentialing docs.
  • Strong attention to detail to validate information for accuracy and completeness.
  • Excellent organization and time-management to handle multiple requests.

Responsibilities

  • Coordinate enrollment, credentialing, and revalidation workflows.
  • Distribute forms to providers for completion and approvals.
  • Monitor requests and follow up to resolve missing materials.
  • Review, scan, and upload provider records and docs.
  • Validate information and flag discrepancies before processing.
  • Maintain tracking and ensure documents reach appropriate teams.
  • Prepare communications and forms as needed.
  • Support workflow improvements and automation initiatives.
  • Assist with occasional provider site visits and related activities.
  • Manage incoming physical docs, including weekly mail handling.

Skills

Provider enrollment
Credentialing
Provider relations
Network management
Documentation accuracy
Time management
Microsoft Excel
Microsoft Word
Independent work
Communication skills

Tools

Salesforce
MMIS
Microsoft Excel
Microsoft Word

Job description

Overture Partners in Boston, MA is seeking a Provider Operations Specialist to manage provider enrollment, credentialing, and revalidation workflows. You will coordinate with providers and internal teams to obtain materials, verify information, and maintain accurate records while meeting deadlines.

The role emphasizes attention to detail, strong documentation skills, familiarity with Microsoft Office, and the ability to handle multiple requests in a fast-paced healthcare environment.

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