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Provider Enrollment Processor at Blue Cross Blue Shield of Massachusetts - ApplyBlast

Provider Enrollment Processor

Blue Cross Blue Shield of Massachusetts

4 months ago

3.1 on Glassdoor

Hingham

Onsite

Full Time

Junior

0 applicants

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About this role

A Provider Operations Processor at Blue Cross Blue Shield of Massachusetts validates and enters data for provider enrollment and credentialing. This role ensures adherence to state laws and CMS guidelines while utilizing multiple systems to maintain accurate provider information in the network.

Responsibilities

Validate and enter provider enrollment and credentialing data accurately
Review contracts and applications for supporting documentation completeness
Verify data accuracy through various licensing and sanction tracking databases
Process new and update requests according to established policies
Respond to internal and external inquiries regarding operational activities

Skills

Qualifications

HS Diploma

About Blue Cross Blue Shield of Massachusetts

bluecrossma.org

Headquarters

Boston, Massachusetts, United States

Company Size

1001-5000 employees

Founded

1937

View Profile

Blue Cross Blue Shield of Massachusetts brings health insurance plans, medical claims, insurance coverage, benefits and telehealth via MyBlue Web & App