Provider Onboarding Specialist

Boston Medical Center; Boston (MA); On-site; USD 60,000 - 75,000; Full time

Job summary

A leading healthcare institution in Boston seeks an Onboarder/Offboarder Specialist to manage the onboarding and offboarding processes for billing providers. The role requires excellent customer service skills and a strong background in healthcare environments. Responsibilities include coordinating provider applications, maintaining compliance, and ensuring a smooth transition for new hires. The ideal candidate will have a degree and significant experience in a healthcare setting, with a focus on quality patient care and effective communication.

Qualifications

• Five years of experience in a healthcare environment.
• Bachelor's degree in information systems may substitute for two years of experience.

Responsibilities

• Oversees onboarding and offboarding of FPF billing providers.
• Ensures timely completion of pre-employment requirements.
• Acts as a liaison between providers and departments.

Skills

Customer Service

Professional Conduct

Education

Associate's Degree

Bachelor's Degree

Job description

POSITION SUMMARY:

Oversees the best practice model to ensure a smooth, welcoming transition and integration of FPF providers into the BMC Community. Under the supervision of the Credentialing Operations Manager, leads the coordination of the onboarding of new FPF billing providers at the time of hire and the offboarding of FPF billing providers at the time of departure. Executes and facilitates tasks related to onboarding and gathering and disseminating of information to appropriate administrative stakeholders to ensure a timely start of clinical duties for new FPF Billing Providers. Executes and facilitates tasks to ensure appropriate actions are performed at the time of FPF provider departure, facilitating exceptional quality of patient care without exception. Onboarder/Offboarder Specialist verifies data obtained from the provider and internal and external parties is documented in the computer software systems, provides information to requesting departments, hospitals, agencies; develops and implements new systems and procedures as necessary. Plans, coordinates, delegates, and performs administrative activities for the Medical Affairs and Payer Enrollment Departments.

ESSENTIAL RESPONSIBILITIES / DUTIES:

Requires impeccable professional conduct and customer service skills. Exhibits a professional, welcoming, positive impression of Boston Medical Center to internal, external clients, and providers. Ensures applications for licensing (including Massachusetts Controlled Substance and DEA), credentialing, and payer enrollment are completed and submitted by the new provider. Responsible for tracking the status of the new provider's application and working collaboratively with Medical Affairs and Payer Enrollment. Collaborates with various internal and external stakeholders to obtain all required information to complete the provider's file. Communicates with the new provider, departmental management, directors, and internal departments regarding status and completion of data. Verifies key tasks are performed timely in relation to the provider's clinical start date and termination date. In coordination with Medical Affairs and Payer Enrollment, communicates known or anticipated delays in the new FPF billing provider's start date. Provides status updates on onboarding and provider termination at regular intervals or upon request.

Onboarding Responsibilities:

• Verifies key tasks required prior to start of clinical duties are completed timely and the provider is ready to bill by performing directly, delegating, or confirming other key stakeholders have completed the tasks required.
• Ensures all pre-employment requirements are met, including but not limited to, pre-employment paperwork, FPF salary letter and agreement (when applicable), physical exam, Boston University human resource paperwork.
• Eliminates repetition in data and signature requests to providers whenever possible.
• Responsible for performing tasks such as maintaining Morrisey system as the source of truth for all applicants, active and terminated FPF Billing Providers, ensuring data provided by various sources and copies of FPF Salary Letter and Agreement are maintained, and verifying faculty appointment packets are completed timely.

Offboarding Responsibilities:

• Verifies key tasks are completed timely relative to providers' termination date by performing directly, delegating, or confirming other key stakeholders have completed the tasks required. Tasks include deactivating access to systems, badges, email, and tokens.
• Verifies resignation letters are stored, stakeholders are notified of termination, privileges are maintained or revoked as appropriate, and necessary actions are taken for outstanding clinical documentation.

Other Responsibilities:

• Acts as a liaison between the provider and internal and external departments/vendors.
• Maintains communication; establishes and maintains positive working relationships with employees, providers, clients, regulatory agencies, vendors, and the public.
• Maintains working knowledge of Bylaws, Hospital Rules and Regulations, government regulations, NCQA Credentialing guidelines.
• Performs other duties as assigned by the Credentialing Operations Manager.
• Works collaboratively with Credentialing Operations Manager and Physician Enrollment Manager to ensure seamless workflow between the Onboarder/Offboarder Lead and Credentialing/Enrollment coordinators.
• Prepares reports to monitor department compliance and internal metrics for quality and timeliness.
• Participates in Quality Improvement teams, examining processes and automation techniques to improve system efficiency.
• Maintains accurate records and data for each FPF Billing Provider in the Morrissey credentialing software system, updates records, and develops reporting procedures.
• Prepares reports, surveys, and questionnaires for hospital administrators, chiefs of clinical divisions/departments, and other agencies as required.
• Produces lists and reports for departments within Boston Medical Center and other institutions and agencies as appropriate. Performs other related duties as required.

EDUCATION:

• Associate's degree required; bachelor's degree preferred.

EXPERIENCE:

• At least five (5) years of full-time or equivalent part-time experience in a healthcare environment.
• A bachelor's degree in information systems or previous database administrator experience may substitute for up to two (2) years of experience.
• Experience in a group practice, Medical Staff Office (or equivalent), credentials verification organization, or health plan preferred.

KNOWLEDGE AND SKILLS:

• Requires impeccable professional conduct and customer service skills.

Equal Opportunity Employer/Disabled/Veterans