Credentialing Coordinator - Mattapan Massachusetts

Company: Harbor Health Services, Inc.
Location: Mattapan, Massachusetts
Posted On: 01/18/2025

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 than 34,000 patients in Boston, the South Shore, and Cape Cod. Harbor Health also operates two Programs for All-Inclusive Care for the Elderly in Mattapan and Brockton, providing comprehensive healthcare, transportation and social services for more than 580 frail elders who continue to live with dignity and independence in the community and a Woman, Infants and Children (WIC) Nutrition Program. To help further the mission of Harbor, we are looking for an talented Credentialing Coordinator to join our Human Resources Team.

Read the overview of this opportunity to understand what skills, including and relevant soft skills and software package proficiencies, are required.

Harbor Health offers an excellent, comprehensive benefits package including Health, Dental, Vision, Life, & Disability insurance, 403b Savings Plan, Generous Paid Time Off plus 11 additional Holidays and much more!

This position is based out of our corporate office in Mattapan, MA and will be hybrid (both in office as needed and remote work).

Role:

The Credentialing Coordinator plays a crucial role in ensuring that clinical staff maintain the necessary certifications and qualifications to provide safe, effective care in compliance with HRSA, state, federal, and other regulatory guidelines. The Credentialing Coordinator tracks licensure dates, maintains accurate records, and verifies credentials ensuring timely initial and re-credentialing and privileging for specific categories of clinical staff. The Credentialing Coordinator works as part of the Human Resources department and collaborates with clinical staff and external agencies to ensure timely and accurate credentialing while following all relevant policies and processes.

Responsibilities:

Maintains and updates credentialing and privileging databases, ensuring accuracy and integrity of records.
Gathers, assembles, and verifies all required documents for credentialing and privileging, ensuring completeness.
Processes credentialing and privileging packages for review.
Notifies clinical staff of licensure expirations and track renewals to maintain compliance.
Provides technical assistance to clinical staff and managers on credentialing and privileging matters.
Conducts timely reviews of credentialing documents and initiates necessary procedures for initial credentialing, re-credentialing, and privileging.
Researches and resolves credentialing and privileging findings; and escalates as needed.
Collaborates with stakeholders to pursue missing or incomplete information.
Distributes and reviews compliance reports and Annual Clinical Evaluations.
Advises vendors of new hires and terminations for assigned clinical staff.
Performs periodic audits to ensure accurate and current credentialing profiles for audit readiness.
Supports other HR compliance projects, including audits and coverage for Occupational Health onboarding and compliance training administration.
Stays updated on policies and regulations impacting credentialing, privileging, and compliance.
Assists with improving processes and efficiencies within the credentialing and privileging function.
Attends required trainings and maintains knowledge of credentialing-related materials.

Requirements:

High School Diploma or GED
Advanced user of Microsoft Office applications
Detail oriented with strong analytical and organizational skills
Excellent customer service skills, both in person and on the telephone
Previous work experience in a healthcare setting preferred
Prior experience with credentialing process and software preferred
Must be able to travel in a timely manner between all Harbor sites as needed.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. More...

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