Credentialing Specialist

Assists with all functions related to the credentialing and re-credentialing process for physicians and allied health personnel.
Essential Functions
-Assist with activities associated with physician and advanced practice provider's credentialing and recredentialing; track and maintain credentialing expiring documents
-Maintain the integrity of provider data in the enterprise credentialing system by ensuring data is entered and updated accurately
-Communicate with internal and external physicians, allied health professionals, other healthcare professionals and managers regarding questions or issues in an effort to gather and maintain credentialing information
-Assist with initial and reappointment application in accordance with policies and procedures; ensure that the credentialing application is completed within an established time frame
-Perform routine credentialing application audits for quality, completeness, and accuracy of data, identify non-compliant items, and identifies issues that require additional investigation and evaluations
-Utilize credentialing websites to obtain primary source verifications, and assist with verifying credentialing elements
-Maintain competency on nationally recognized credentialing related initiatives through participation with NAMSS and MAMSS, journal articles, online education, webinars and other industry related news

Education

• High School Diploma or Equivalent required or Associate's Degree Related Field of Study preferred

Experience

• 3-5 years of experience in credentialing or a related field required

Knowledge, Skills and Abilities

• Working knowledge of general office practices and software applications and database management.
• Demonstrated understanding of credentialing policies and procedures, as well as accreditation and regulatory requirements relating to the medical staff.
• Strong organizational skills.
• Ability to manage demanding workload; self-motivated; able to carry out responsibilities with minimum supervision.
• Strong analytical skills.
• Strong interpersonal skills.
• Ability to successfully negotiate and collaborate with others of different skill sets, backgrounds and levels within and external to the organization.

Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.