Hebrew SeniorLife

  • Credentialing Coordinator

    Job Locations US-MA-Roslindale
    Job ID
    2018-2430
    Category
    Administrative
  • Overview

    Once again , HSL has received the Boston Globe's designation as a Top Place to Work, based on survey data from our employees!  Join this phenomental organization and work with a terrific team in our Department of Medicine, supporting the smooth onboarding and credentialing of our Physicians and Harvard Medical School Geriatric Fellows.

     

     

    Responsibilities

     

     

      • Maintain updated and complete DOM files for approval by Credentialing Committee and HRC board and in keeping with State rules and regulations
      • Use credentialing software or other systems to maintain of provider credentialing information as it pertains to their privileging and provider enrollment
      • Gather and coordinate paperwork for providers to be credentialed at HSL as well as Harvard Medical School and other institutions (BIDCO/etc.); take the lead in collaborating with BIDCO regarding HSL’s participation in the ACO as it relates to our credentialing and provider enrollment (work alongside the Administrative Director, Chief Medical Officer as well as the Medical Staff Coordinator in this realm)
      • Prepare credentialing report and submission for HRC Board
      • Develop and submit bios for new clinicians and clinicians that need to be re-credentialed by the Quality Board and Credentialing Committee
      • Prepare promotion packets for submission to DOM at Beth Israel Deaconess Medical Center for review by Academic Promotions Committee (as needed) or other types of projects from other affiliated institutions
      • Manage third party payer credentialing process as it pertains to provider enrollment
      • Complete all organization parts of applications for new providers
    • Maintain credentialing tracking log; track dates that requests were sent to clinicians, other staff who are credentialed at HRC/HCC and 3rd parties; follow up as necessary to ensure providers are credentialed prior to start date
    • Ensure Medicare enrollment/linking for clinicians is completed shortly after clinicians’ starts
    • Ensure our clinicians are credentialing at the various secondary payers; fill out necessary applications and monitor to make sure they are up to date and active with the various health payers/insurances
    • Create provider enrollment grid and other systems to ensure provider licenses, DEAs, malpractice and other pertinent items are current
    • Set up and maintain tracking system for DOM malpractice coverage

     

    • Send and coordinate check requests to fiscal for malpractice payment and reimbursement for clinicians (this occurs on a limited basis)
    • Coordinate new hire packets including immunization records and BASICS test and work with Human Resources to ensure all appropriate forms are filled out before clinicians start
    • Maintain current biographical sketches for DOM staff and current files including updated CVs and other credentialing information
    • Participate and lead operational efficiency work groups (optional) as it pertains to credentialing and provider enrollment (optional)
    • Develop and implement systems to improve credentialing and enrollment workflows – as necessary
    • Assist with the on-boarding process for new providers to ensure smooth transition for their start at HSL as it pertains to credentialing and enrollment
    • Prioritize/tracking of credentialing files to ensure compliance with DPH regulations
    • Collaborate with Medical Directors and Administrative Director to develop new credentialing forms and other tools to streamline the credentialing/enrollment workflows
    • Establish relationships with Finance, Compliance, Human Resources, and other departments that you interface with on a regular basis as it pertains to credentialing and provider enrollment
    • Prepare for surveys from the Department of Public Health and other state agencies that review credentialing files on a regular basis
    • Build new relationships with credentialing teams at other organizations that we interface with as it pertains to the privileging of our clinicians who may be credentialing at numerous institutions
    • Work with Administrative Director and Chief Medical Officer to ensure Medical Staff By-Laws are being followed with respect to the privileging of our clinicians

     

    Administrative Support

    • Answer and screen incoming calls for the Department of Medicine inquiries
    • Prepare reports and correspondence as requested that pertain to credentialing and provider enrollment items
    • Complete special projects as assigned

     

    Physician Practice Support

    • Work with Administrative Director to prepare annual DOM budget as it pertains to credentialing and enrollment
    • Provide administrative support to physicians as needed

     

    The above covers the most significant responsibilities of the position. It does not, however, exclude other duties, which would be in conformity with the level of the position.

     

    Qualifications

    • Associates Degree required. Bachelor’s degree in Business or related field, preferred.
    • 2-3 years of administrative assistant experience, required.
    • Previous experience working with physician credentialing and provider enrollment, preferred.
    • Must be professional, proactive, collaborative, conscientious and results-oriented individual. Must have an optimistic and positive demeanor, excellent oral and written communication skills, good intuition and able to adapt to changing priorities and display good, sound judgment with a sense of humor.
    • Superb organizational skills. Must have solid analytical skills. Must be creative and proactive yet disciplined, discriminating and able to streamline work volume in order to maintain bottom line efforts in midst of multi-tasking and daily re-prioritizing. Must have ability to innovate, think strategically and conceptually, manage multiple projects simultaneously and handle even difficult situations.
    • Must be motivated to learn and flexible to change.
    • Computer literacy required; experience with databases, Windows, Word, Excel, Powerpoint and databases.

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