Our healthcare client in downtown Boston is looking for a temporary - permanent provider enrollment coordinator. In this role, the candidate will be responsible for initiating the enrollment and credentialing process for healthcare provider applications and complies and processes data in compliance with program requirements.
-Great location downtown
-Potential to become a permanent employee within 6 months
This position ensures thorough and timely verification of all provider credentials and application materials. This will include, but not be limited to, responsibility for credentialing new and established health care providers, and the maintenance of information including; primary source verification, provider follow-up, data collection, data entry, and document file review and provider update requests. This position pays $15/hr.
-Perform credentialing and re-validation activities for prospective and current providers according to established guidelines. Duties include reviewing provider applications, applying policy and criteria based on provide type, performing source verification and processing provider files. Ensures provider compliance in regards to licensing and sanction information with all accrediting organizations and regulatory agencies
-Maintain provider updates as requested, verifying data and entering information. Completes all documentation and data entry in a timely and accurate fashion.
-Follow regulation time frames and procedural guidelines for processing applications, updates and dis-enrollment activities according to company and contract standards.
-Respond to all provider enrollment related inquiries and requests in a timely and thorough fashion.
-Maintain professional interactions with providers, persistently following up on missing enrollment information and required documentation to complete file.
-Communicate to providers any regulations and certification changes that affect file maintenance or membership, obtaining necessary documentation from providers for processing.
Working hours: 8:30 AM - 5:00 PM
-Excellent customer service and administrative skills
-Experience within healthcare
-1-3 years of administrative and/or customer service experience
If you are interested and qualified for this role, please apply to this position and email your resume to email@example.com
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.