Managed Care - Provider Enrollment Specialist- Full time - Days

Location: Burlington, MA
Job ID: 155414-1A
Date Posted: Jan 21, 2020
Category: Specialist

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Job Description

Welcome To

Lahey Hospital & Medical Center  is part of a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.

We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.

About the Job

The Department:

The Lahey Medical Staff Affairs Department is responsible for ensuring compliance with local, state, and federal government regulatory requirements/standards as well as commercial payer rules and regulations related to credentialing and enrollment of healthcare providers.  This department works closely with a diverse team of professionals overseeing business processes associated with provider credentialing and enrollment as well as system reimbursement, customer service, and compliance.  

Additionally, The Provider Enrollment team plays a vital role in making sure Lahey Health is able to collect payments on behalf of providers and facilities for healthcare services rendered

Position Summary:

Responsible for preparing and submitting provider enrollment and re-enrollment applications to insurance plans for all Lahey providers, and for accurately using the databases and other technologies needed to do this work.  Professionally communicates both verbally and in written work regarding  provider enrollment. 

Minimum Qualifications:

Education: High school diploma or equivalent

Licensure, Certification, Registration:  N/A

Skills, Knowledge & Abilities:   Excellent computer skills, outstanding attention to detail and to accuracy, familiarity and experience with inputting and extracting data from spreadsheets and windows-based databases, ability to adhere to specific time-frames and to reprioritize work independently as well as with direction.  Excellent ability to communicate details verbally, and to write clearly and concisely.   Excellent ability to collaborate with colleagues.

Experience:   2 years experience working within a healthcare facility or health insurance plan credentialing or provider enrollment department. Significant experience with Google G-Suite, Microsoft Word and  Excel mandatory.  Significant customer service experience.



About Us

Beth Israel Lahey Health is an integrated system providing patients with better care wherever they are. Care informed by world-class research and education. We are doctors and nurses, technicians and social workers, innovators and educators, and so many others. All with a shared vision for what healthcare can and should be. We are committed to attracting, developing and retaining top talent. We strive to create a diverse and inclusive workplace that reflects the communities in which we work and serve. With a team approach to care, we encourage learning and growth at all levels and offer competitive salaries and benefits.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.