Remote Credentialing & Provider Enrollment Coordinator

Mass General Brigham Incorporated; Somerville (MA); On-site; USD 27,000 - 39,000; Full time

Job summary

Mass General Brigham Incorporated in Somerville, MA seeks a Credentialing Coordinator to manage the credentialing process, verify licenses and certifications, and guide complex cases. You will work with CAQH and internal systems to keep provider data accurate and compliant.

This full-time day-shift position emphasizes collaboration across teams, timely enrollment with payors, and proactive tracking to prevent delays. Candidates should have 2–3 years in credentialing and an associate degree.

Qualifications

• Knowledge of credentialing and accreditation principles.
• Experience in clinical/medical office setting.
• Ability to handle confidential information.
• Strong organizational and communication skills.

Responsibilities

• Review and screen credentialing applications.
• Conduct primary source verification and resolve issues.
• Audit and monitor credentialing files for completeness and compliance.
• Manage provider enrollment with payors (Medicare/Medicaid and commercial).
• Maintain provider data in CAQH and internal systems.
• Coordinate with credentialing teams, payors, hospitals, and practice groups.
• Track performance, reporting, and compliance readiness.

Skills

Credentialing

Regulatory knowledge

Attention to detail

Communication skills

Project management

Education

Associate's Degree

High School Diploma

Tools

CAQH

Job description

Mass General Brigham Incorporated in Somerville, MA seeks a Credentialing Coordinator to manage the credentialing process, verify licenses and certifications, and guide complex cases. You will work with CAQH and internal systems to keep provider data accurate and compliant.

This full-time day-shift position emphasizes collaboration across teams, timely enrollment with payors, and proactive tracking to prevent delays. Candidates should have 2–3 years in credentialing and an associate degree.