Medical Staff Coordinator

Overview

Responsible for coordination and preparation of medical staff credentialing functions. Assists with all functions related to the credentialing and provider enrollment of practitioners as outlined in the medical staff bylaws, policies or related contracts or as required by accrediting and regulatory agencies (i.e., TJC, CMS, NCQA). Ensures compliance with appropriate accrediting and regulatory agencies. The coordinator assists with the development, planning and implementation of the credentialing/privileging and provider enrollment process. Ensures that all expirables are reviewed, obtained, and managed on a monthly basis. Maintains the confidentiality of all business/work and medical staff information. Responsible for the accuracy and integrity of their credentialing and enrollment files. Prepares for Credentials Committee meetings, correspondence. Assists in managing the flow of information between the OMAPC team, Revenue Cycle, Finance Teams and Credentials Committee, Department Chairs and Program Administrators.

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

Responsibilities

• Coordinates and monitors the review and analysis of practitioner applications and accompanying documents for all credentialing and provider enrollment of physicians and allied health applicants.
• Conducts thorough background investigation, research and primary source verification of all components of the application file.
• Identifies issues that require additional investigation and evaluation, validates discrepancies, and ensures appropriate follow up with Manager/Supervisor.
• Prepares credentials file through completion and presentation to department chair and Credentials Committee.
• Builds/maintains CAQH files for providers and coordinates out-of-state Medicaid enrollment process for the PO Foundations as well as health plans. Submits enrollment paperwork for all major health plans.
• Enrolls staff for ordering and referring status with Mass Health and Medicare and maintains database with payer effective dates.
• Other duties as assigned.

Qualifications

• High school diploma or equivalent experience.
• 1 year experience in medical staff services/provider enrollment credentialing preferred.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

• Ability to organize/prioritize workload.
• Working knowledge of MD-Staff software preferred.
• Working knowledge of Microsoft Office software
• Excellent written and verbal communication skills.
• Strong customer service skills and the ability to interact with diverse groups.

Pay Transparency Statement

The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate’s relevant experience, skills and qualifications.

For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA)

$28.37/hr - $31.30/hr

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.

Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.