Credentialing Specialist, Managed Care- Northampton
 Cooley Dickinson Medical Group | |
 United States, Massachusetts, Northampton | |
| 30 Locust Street (Show on map) | |
 Mar 28, 2025 | |
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What You'll Do:
*Streamline Provider Enrollment - Submit, track, and manage applications for credentialing and participation with contracted health plans. *Maintain Membership Documents - Keep accurate records of provider enrollment, credentials, and membership status. *Facilitate Communication - Act as a key point of contact for providers, assisting with onboarding and resolving managed care-related issues. *Advocate for Providers - Research health plan policies and assist in resolving enrollment and payment challenges. *Ensure Compliance - Track required hospital privileges, obtain necessary contract signatures, and keep credentialing records up to date. Experience: At least 3 years of medical office experience or medical administrative experience with knowledge of HMO and PPO insurance. Attention to Detail: Ability to manage multiple tasks with accuracy and efficiency. Mass General Brigham Medical Group Western Massachusetts, Inc. 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. | |