Remote Provider Credentialing & Enrollment Coordinator

Mass General Brigham (Enterprise Services); Somerville (MA); On-site; USD 28,000 - 39,000; Full time

Job summary

Mass General Brigham Incorporated is seeking a Credentialing Coordinator to manage the credentialing process, reviews, and primary source verification while aligning with federal, state, and internal standards. Remote work is available and 40 hours per week are scheduled.

Responsibilities include reviewing applications, verifying documents, auditing files, and coordinating with payors and internal teams to ensure timely provider enrollment and compliance readiness.

Qualifications

• Knowledge of medical provider credentialing and accreditation principles, policies, processes, and documentation.
• Knowledgeable in clinical and/or hospital operations and procedures.
• Ability to use independent judgment and to manage and impart confidential information.
• Skill in establishing priorities with independent coordination of day-to-day aspects.
• Ability to communicate effectively both orally and in writing.
• Strong organizational and project management skills.

Responsibilities

• Review and screen credentialing applications - Ensure all applications are complete, accurate, and meet federal, state, local, and internal standards.
• Confirm required documents are submitted and align with policy and regulatory expectations.
• Conduct primary source verification and resolve issues - Verify licenses, certifications, education, and training directly with original sources.
• Audit and monitor credentialing files - Review documentation for completeness and compliance with quality, accreditation, and organizational standards.
• Interpret regulatory requirements and reporting - Review reports, scoring, and requirements from accrediting and regulatory bodies.
• Provide oversight and support to credentialing staff - Guide specialists through complex cases and ensure adherence to policies.
• Manage provider enrollment with payors - Oversee timely enrollment of new providers with commercial and government payors.
• Maintain provider data and system accuracy - Update and manage provider records in CAQH and internal systems.
• Coordinate across teams and external partners - Collaborate with credentialing teams, payors, hospitals, and practice groups to meet deadlines.
• Track performance, reporting, and compliance readiness - Produce regular enrollment and status reports to monitor progress.

Skills

Credentialing principles

Regulatory compliance

Documentation management

Communication skills

Project management

Education

Associate's Degree in related field

Job description

Mass General Brigham Incorporated is seeking a Credentialing Coordinator to manage the credentialing process, reviews, and primary source verification while aligning with federal, state, and internal standards. Remote work is available and 40 hours per week are scheduled.

Responsibilities include reviewing applications, verifying documents, auditing files, and coordinating with payors and internal teams to ensure timely provider enrollment and compliance readiness.