Credentialing Specialist

Full Time
Boston, MA 02111
From $26 an hour
Posted Today
Job description

South Cove Community Health Center is the premier Asian primary health care provider in the Greater Boston area. We have been providing value-based health care to the Boston Chinatown’s community for over 50 years and have expanded our delivery of care into the cities of Quincy and Malden. We now offer many services including: medical, dental, optometry, obstetrics and gynecology, behavioral health, imaging, and many other services. Come join our team and help provide needed services to our communities.

Maintain individual Provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications. Maintain internal provider grid to ensure all information is accurate and logins are available. Update each provider’s CAQH database file timely according to the schedule published. Obtain all provider licenses that are renewed; Professional, DEA, Controlled Substance (MCSR), Specialty Board Certifications. Complete Revalidation requests by government payers. Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid. Complete re-credentialing applications for commercial payers. Credential new providers and re-credential current providers with hospitals at which they hold staff privileges. Bachelor’s degree in related field, Preferred 2 years of Medical Credentialing Experience. Fluent in English and Cantonese/Mandarin

Job Type: Full-time

Pay: From $26.00 per hour

Benefits:

  • 401(k)
  • Flexible spending account
  • Health insurance
  • Paid time off

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Ability to commute/relocate:

  • Boston, MA 02111: Reliably commute or planning to relocate before starting work (Required)

Education:

  • Bachelor's (Preferred)

Experience:

  • Medical Credentialing: 2 years (Preferred)
  • Medical billing: 2 years (Preferred)

Language:

  • Cantonese or Mandarin (Preferred)

Work Location: In person

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