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Credentialing Analyst

Company: Lowell General Hospital - Main Campus
Location: Lowell
Posted on: November 12, 2021

Job Description:

Part Time/ Days/ 24 hours a week: Mon- Fri daysLocation:55 Technology DriveLowell, MA 01854The Credentialing Analyst is responsible for provider (physician and non-physician extender) payer credentialing/enrollment activities. Some of these activities include completion of necessary provider membership and payer enrollment applications, provider/authorized signer signature coordination, application filing and tracking, status follow-up and project completion communication.The Credentialing Analyst is required to keep copies of all documentation submitted and proof of submission, maintain an individual provider profile documenting payer linking effective dates, maintain the CAQH profiles for all necessary providers, and track and assist with all practice payer enrollment/credentialing issues.Will perform the following duties:

  • Credentialing database maintenance & Roster Reconciliations
    • Application preparation for PHO, PHO & non-PHO contracted payers
      • Application preparation for Nursing facility credentialing
        • Maintain updates & accuracy within provider profiles for CAQH, Lexis Nexis, payer provider directory
          • Assists with credentialing discrepancies and claim related issues.
            • Payer demographic updates and documentation requests for providers and practice departments
              • HCAS Form completion and submission
                • Payer weekly follow up for application submissions
                  • Performs other duties as assigned.Requirements:
                    • High School diploma required
                    • Associates or some college preferred
                    • 1-3 years of experience
                    • Attention to detailWhat We Offer:
                      • Free on-campus parking
                        • Tuition reimbursement
                          • 403(b) retirement plan with company match
                            • Competitive salaries & benefitsAbout Lowell General Hospital:Lowell General Hospital is an independent, not-for-profit community hospital serving the Greater Lowell area and surrounding communities. With two primary campuses located in Lowell, Massachusetts, we are the second largest community hospital in Massachusetts. We have the latest state-of-the-art technology and a full range of medical and surgical services for patients, from newborns to seniors.We are also a proud member of Circle Health and in collaboration with the medical community it is our promise to provide our patients with Complete connected care SM

Keywords: Lowell General Hospital - Main Campus, Lowell , Credentialing Analyst, Professions , Lowell, Massachusetts

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