Credentialing Coordinator

Our healthcare provider in Waltham, MA is seeking an immediate Credentialer to join their small team to start immediately.

Overview: Perform day to day functions to inbound requests and maintain provider database. Aduit analyses on completed requests and monitor compliance status of submitted requests.

Responsibilities:

• Analyze inbound requests to determine accuracy and route request to provider changes or other cross functional teams
• Maintain provider data management systems for accuracy
• Handle and resolve provider data issues, such as mass change updates, limited reconciliations, and direct submissions of urgent requests
• Coordinate proivder data between the health plan database and various internal databases
• Participate in reconciliation and provider data projects
• Review, investigate, and resolve inquiries regarding loaded providers tha tmay have issues reported from external and internal customers
• Submit daily and weekly internal and external status reports
• Initiate and process provider add, change, and termination forms
• Track, update, and audit provider information into database
• Assist in Corporate audit activities or requests for claims provider setup

Minimum Qualifications:

• HS Diploma; College degree preferred
• Minimum 2 years of experience in credentialing, provider data or network administration experience, preferably in managed care.
• MS Office proficiency, especially Excel
• Data management in large databases, reporting and analysis preferred
• Excellent written and verbal communication skills
• Team-oriented personality

About Aerotek:

Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit .

Aerotek is acting as an Employment Agency in relation to this vacancy.