Provider Enrollment Specialist

2 months ago


Boston, United States Commonwealth Care Alliance Full time

Area of Interest Operations Why This Role is Important to Us The Provider Enrollment Specialist facilitates the paperwork and timely follow through of all required CCA

and CCC

employed clinician licenses, registrations, hospital affiliations and insurance enrollments including, but not limited to, state license, DEA & MCSR renewals, NPI registration, CAQH applications, Medicare & MassHealth enrollment, private insurances (e.g. Tufts, BCBS) and hospital credentialing (e.g. Boston Medical Center, Massachusetts General). What We're Looking For Required: High School Diploma or equivalent. Required: Two years' experience in a provider enrollment setting (managed care, insurance, medical, or related field). Preferred:

Experience enrolling clinicians in Medicare, MassHealth, private insurance and hospitals preferred. Required:

Professional demeanor, strong written and oral communication skills, strong computer skills, and the ability to learn Credentialing Software. Proficient in Microsoft Office Suite Detail-oriented, analytical, organized and possessing problem-solving skills. Ability to manage varying job pressures and meet deadlines and handle multiple tasks simultaneously with minimal supervision. Ability to work in a production environment and meet production and quality goals. Ability to independently organize workload and manage multiple projects within deadlines. Computer literacy and experience with Microsoft office suite (Outlook, Word and Excel), Adobe Pro and internet searches. Knowledge working with fax machines, copiers and other office machines. Ability to prepare, send and track standard mailings, certified mailings, FedEx mailings. Knowledge of regulatory/accreditation requirements and standards (CMS, DOH, HIPAA, NCQA). Knowledge of Medicare, MassHealth, EOHHS health care programs and understanding of program and provider enrollment and credentialing regulations and requirements preferred. Ability to establish and maintain positive relationships, building trust and respect by consistently meeting and exceeding expectations. Required:

What You'll Be Doing Enroll and Re-enroll individual practitioners using Credentialing Software. Outreach to providers (email, phone, in person) to obtain additional supporting documentation or information. Meet in person with employed clinicians and Clinical Directors to facilitate filling out required paperwork, obtaining signatures, and troubleshoot issues related to enrollment submissions. Monitor work inventory to ensure inventory is processed within expected turnaround times. Meet or exceed departmental production and quality goals. Display a positive, constructive and helpful demeanor. Assist Provider Data Management (PDM) team in data entry of key provider demographics and data integrity projects including but not limited to outreaching for additional details required to update CACTUS Credentialing Software's database and directory. On site audits of perspective Provider Groups as required (i.e. Frail Elderly Waiver)

#J-18808-Ljbffr


  • Enrollment Specialist

    2 months ago


    East Boston, United States Catholic Charities Archdiocese of Boston Full time

    Job DescriptionJob DescriptionThe enrollment specialist is responsible for researching, coordinating and enrolling families in Catholic Charities centers and family child care homes throughout the greater Boston and North Shore area. The Enrollment Specialist provides parents with program information to support the best early care and education decisions for...


  • Boston, United States Harbor Health Services, Inc. Full time

    Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harbor provides medical, behavioral health, dental, and support services to more...


  • South Boston, United States Harbor Health Services Full time

    Harbor Health Services is seeking a talented MassHealth Enrollment Specialist to join our team at the Elder Service Plan in Mattapan, MA. Harbor Health also operates two Programs for All-Inclusive Care for the Elderly(PACE)/Elder Service Plans in Mattapan and Brockton, providing comprehensive healthcare, transportation and social services for more than 580...


  • Boston, United States Element Care Full time

    Job SummaryElement Care is seeking a skilled Enrollment Intake Nurse Specialist to join our team. As a key member of our enrollment team, you will play a critical role in prioritizing, organizing, and adapting the PACE enrollment process to meet the individualized needs of potential participants.Key ResponsibilitiesEnrollment Team FunctionsConduct initial...


  • Boston, Massachusetts, United States Vertex Pharmaceuticals Full time

    Job Overview:As a Patient Enrollment Specialist within the Guidance & Patient Support team, you will play a crucial role in ensuring patients receive the support they need. Vertex Pharmaceuticals is a leading global biotechnology firm dedicated to advancing scientific breakthroughs to develop transformative therapies for individuals facing serious and...

  • Enrollment Specialist

    2 months ago


    Boston, United States YMCA of Greater Boston Full time

    Job DescriptionJob DescriptionDescriptionUnder the direction of the Business Manager of Child Development, the Enrollment Specialist will provide a variety of clerical and financial support to the Child Development Department, establishing and maintaining department records; coordinating assigned projects; compiling and distributing a wide variety of...


  • Boston, MA , USA, United States Element Care Full time

    Job SummaryElement Care is seeking a highly skilled Clinical Enrollment Specialist to join our team. As a key member of our enrollment team, you will play a vital role in prioritizing, organizing, and adapting the PACE enrollment process to meet the individualized needs of potential participants and ensure census goals are achieved.Key...


  • Boston, United States Action For Boston Community Development Full time

    Intake and Enrollment Specialist - ESOL ProgramDepartment: Education, Training, and Youth Services Employment Type: Permanent - Full Time Location: Downtown Boston - Temple Place Description The English for Speakers of Other Languages (ESOL) program provides community members services to learn English or improve their ability to speak, read and write in...


  • Boston, Massachusetts, United States Uncommon Schools Full time

    Job OverviewUncommon Schools is a nonprofit organization dedicated to delivering exceptional K-12 education in underserved communities. We proudly maintain a diverse workforce, with over 60% of our educators and staff identifying as people of color. Currently, we operate 53 schools across five cities, serving more than 20,000 students. Our graduates achieve...

  • Enrollment Specialist

    3 months ago


    Boston, United States Fenway Health Full time

    Job DescriptionJob DescriptionDescription:Under the supervision of the Director of Patient and Financial Services, the Enrollment Specialist is responsible for the registration and documentation of patients eligible for financial assistance, and the provision of excellent customer service.Representative DutiesRegister, Document, and Maintain Patients...


  • Boston, Massachusetts, United States Uncommon Schools Full time

    Position OverviewThis position plays a vital role in supporting our Roxbury Prep schools by executing essential student enrollment activities. The individual will be accountable for student enrollment across a designated group of schools, collaborating with school personnel to achieve enrollment objectives. This role requires leveraging personal and...


  • Boston, United States Comprehensive Development Full time

    **Job** **Spanish Speaking Enrollment & Match Support Specialist, Community-Based Mentoring** Posted by | Boston, MA **Spanish Speaking Enrollment & Match Support Specialist, Community-Based Mentoring** Boston, MA Temporarily Remote Big Sister Boston is seeking an Enrollment & Match Support Specialist for our Site-Based Mentoring team. The Site-Based...


  • Boston, Massachusetts, United States Commonwealth Sciences, Inc. - Health Care Services Full time

    Position OverviewAs an integral member of the PACE Interdisciplinary Team, the Enrollment Nurse plays a crucial role in the assessment and intake process for the PACE program. This position collaborates with the care team to ensure that participants meet the necessary qualifications and that the program's census remains within required limits. We welcome...


  • Boston, United States Boston University Full time

    About the Role Boston University Combined Enrollment Services seeks an Enrollment Service Advisor. Enrollment Service Advisors work as members of a team to provide direct customer service and counseling regarding Boston University's enrollment processes that is personal, professional, and confidential. This role uses comprehensive knowledge of the policies...


  • Boston, Massachusetts, United States Boston University Full time

    About the RoleBoston University Combined Enrollment Services seeks an Enrollment Service Advisor. Enrollment Service Advisors work as members of a team to provide direct customer service and counseling regarding Boston University's enrollment processes that is personal, professional, and confidential. This role uses comprehensive knowledge of the policies...


  • Boston, United States Uncommon Schools Full time

    Hiring Start Time: Immediate Start (Home Office) Company Description Uncommon Schools is a nonprofit network of high-performing, public charter schools providing an outstanding K-12 education in historically under-resourced communities. We have proudly built schools that reflect our student population, with more than 60% of our teachers and staff across our...


  • Boston, United States Element Care Full time

    Job SummaryElement Care is seeking a skilled and compassionate Enrollment Intake Nurse to join our team. As a key member of our enrollment team, you will play a vital role in prioritizing, organizing, and adapting the PACE enrollment process to meet the individualized needs of potential participants.Key ResponsibilitiesInitial Appointments: Conduct initial...


  • Boston, United States Uncommon Schools Full time

    Job DescriptionJob DescriptionCompany DescriptionUncommon Schools  is a nonprofit network of high-performing, public charter schools providing an outstanding K-12 education in historically under-resourced communities. We have proudly built schools that reflect our student population, with more than 60% of our teachers and staff across our network...

  • MDS Registered Nurse

    3 weeks ago


    Boston, United States Commonwealth Sciences, Inc - Health Care Services Full time

    As a member of the PACE Interdisciplinary Team, the Enrollment Registered Nurse participates in the assessment and enrollment/intake process of the PACE program.The nurse works with the care team to ensure participants in the PACE program are qualified and census of the program is within the mandated range.Ensure potential participants meet eligibility...


  • Boston, United States New England Conservatory of Music Full time $73,000 - $75,000

    Job DescriptionJob DescriptionThe New England Conservatory, an independent not-for-profit institution, is recognized internationally as a leader among music schools, educating and training musicians of all ages from around the world. With music students representing more than 40 countries, NEC cultivates a diverse, dynamic community for students, providing...