Credentialing Coordinator

Ophthalmic Consultants of Boston (OCB) was established in 1969 to offer patients the highest quality eye care and laser/surgical treatment. OCB recently joined forces with Eye Health Services to become the premier eye care provider in the region with nineteen practice locations in the greater Boston area and Cape Cod. In addition, OCB has five affiliated surgery and laser centers. OCB and its affiliates employ 700 employees. The staff of 75 ophthalmologists uses the most advanced diagnostic, laser and surgical techniques available and their level of care has earned Ophthalmic Consultants of Boston a national and international reputation for excellence. 

We have a great opportunity available for a Credentialing Coordinator in our Boston office.

An ideal Credentialing Specialist is one that is detail-oriented, organized decision-maker with the ability to work both independently and in teams. Strong oral and written communication skills are also essential, as we spend a lot of time communicating with doctors, healthcare administrators, higher education institutions and government officials.

Position summary:

• Maintain complete, up-to-date documentation for each OCB physician and surgical centers, including medical licenses, Federal DEA license, and MA state-controlled substance abuse certificates, professional liability insurance policies, hospital staff privileges, reappointments
• Onboarding of a new provider, ensuring provider has proper licenses and certificates. Physician/ Optometrist credentialing with insurance carriers and physician organizations.
• Using strong research skills to gather pertinent information regarding healthcare facilities and staff
• Maintaining online database updated on medical licensing and certification requirements
• Auditing paperwork such as applications and licensing documentation for accuracy
• Processing appointment requests for hospitals and other healthcare facilities
• Understanding current healthcare laws and regulations
• Credentialing of insurances and familiarity with PECOS and Medicaid for providers and facilities
• Ensuring OCB and Ambulatory Surgical Centers are operating within state and federal regulations

Requirements:

• Associates degree required
• Bachelor’s degree preferred
• Covid Vaccine; must provide Vaccination card prior to start
• Computer proficient
• Working knowledge of Microsoft office
• Experience in credentialing providers is a must
• 2-3 years of billing experience, including 1 year in health care

Benefits Offered:

• Health & Dental Insurance- eligible 1st Day of Employment
• Paid time off and Paid Holidays
• Health & Dependent Flexible Spending Accounts
• 401(k) Plan with Company Match
• Company paid Life and Long Term Disability Insurance
• Employee Discounts

To find out more about OCB, please visit our website at www.eyeboston.com. 

OCB is an Equal Opportunity Employer.