Non-Clinical – Provider Enrollment Coordinator (Days)

The Provider Enrollment Coordinator facilitates the credentialing/re-credentialing process for all practitioners and non-BHS practitioners for Berkshire Health Systems.

• The Credentialing Coordinator gathers and organizes practitioner information regarding specialty, education, state licensure, DEA registration, work history, practice detail, malpractice, hospital privileges, and other documentation as needed.
• The Provider Enrollment Coordinator will complete and file all necessary forms, documents and contracts required by individual insurers that BHS participates with.
• The provider Enrollment Coordinator works independently with regulatory agencies, insurers, hospitals, practitioners, and BHS employees so that providers are credentialed in a quick and efficient manner to ensure payment for services rendered.

• Minimum of three years experience in either reimbursement, credentialing, and/or billing within a health care setting required.
• High School Diploma required. Associates' Degree Preferred.
• Excellent interpersonal and organizational skills.
• Proven ability to analyze and present data. Ability to plan, implement, and evaluate processes.
• Self motivated.
• Ability to manage deadlines.
• Ability to prioritize and problem solve numerous tasks and demands.
• Ability to manage confidential and sensitive information.
• Ability to work independently.
• Attends necessary meetings to complete job responsibilities.
• Demonstrated ability to read and follow written/verbal direction.
• Demonstrated conflict resolution skills.
• Demonstrated ability to adapt to fast paced multifaceted position.
• Excellent communication skills.
• Strong telephone skills.
• Computer proficiency- Microsoft Office Products and provider enrollment software.
  

  CERTIFICATION REQUIREMENTS

  • None