[Hiring] Provider Onboarding Specialist @BMC Software

Role Description

Oversees the best practice model to ensure a smooth, welcoming transition and integration of providers into the BMC Community. Under the supervision of the Credentialing Operations Manager, leads the coordination of the onboarding of new billing providers at the time of hire and the offboarding of billing providers at the time of departure. Executes and facilitates tasks related to onboarding and gathering and disseminating of information to appropriate administrative stakeholders to ensure a timely start of clinical duties for new Billing Providers.

Onboarder/Offboarder Specialist verifies data obtained from the provider and internal and external parties is documented in the computer software systems, provides information to requesting departments, hospitals, agencies; develops and implements new systems and procedures, as necessary. Plans, coordinates, delegates and performs administrative activities for the Medical Affairs and Payer Enrollment Departments.

Qualifications

• Associate's degree required, bachelor’s degree preferred.
• At least five (5) years of full-time or equivalent part-time experience in a healthcare environment.
• A bachelor’s degree in information systems or previous database administrator experience may be substituted for a maximum of two (2) years of the required experience.
• Experience in a group practice, Medical Staff Office (or equivalent) or credentials verification organization or health plan preferred.
• Requires impeccable professional conduct and customer service skills.

Requirements

• Ensures applications for licensing (including Massachusetts Controlled Substance and DEA), credentialing and payer enrollment are completed and submitted by the new provider.
• Responsible for tracking status of new provider’s application and working collaboratively with Medical Affairs and Payer Enrollment.
• Collaborates with various internal stakeholders and external stakeholders to obtain all required information necessary to complete provider’s file.
• Communicates with new provider, departmental management, directors and internal departments regarding status and completion of data.
• Verifies key tasks are performed timely in relation to providers clinical start date and termination date.
• In coordination with Medical Affairs and Payer Enrollment, communicates known or anticipated delays in the new billing providers start date.
• Provides status of new provider onboarding and provider termination at regularly scheduled intervals or upon request.

Benefits

• Compensation Range: $60,500.00- $88,000.00.
• Generous total compensation that includes benefits (medical, dental, vision, pharmacy).
• Discretionary annual bonuses and merit increases.
• Flexible Spending Accounts.
• 403(b) savings matches.
• Paid time off.
• Career advancement opportunities.
• Resources to support employee and family well-being.