Find & Apply For Enrollment / Eligibility Specialist Jobs in Tewksbury, Massachusetts

Office Support Specialist I Commonwealth of Massachusetts

• Department of Public Health
• 3.8 Tewksbury, MA Job Details Full-time $57,865.34
• $81,582.

28 a year 1 day ago Qualifications Spreadsheets Administrative experience Database management Desktop applications Full Job Description The Department of Public Health (DPH) at Tewksbury Hospital is looking for a Credentialing Office Support Specialist I to join its team. This role is responsible for overseeing provider enrollment and access within the Centers for Medicare & Medicaid Services (CMS) Provider Enrollment, Chain, and Ownership System (PECOS) after clinicians have been credentialed and granted medical staff privileges. The Credentialing Office Support Specialist coordinates federal and state provider enrollment activities to ensure compliance with CMS and MassHealth requirements. This position is Monday through Friday from 8am

• 4:00pm Duties and Responsibilities (these duties are a general summary and not all inclusive): Create and maintain individual provider enrollment accounts for Individual Provider Enrollment (CMS-855I) and Reassignment of Benefits (CMS-855R).

Set up provider access and ensure accurate enrollment in the

CMS/PECOS

system. Enter and maintain provider demographics and practice location information. Process reassignment of benefits to the appropriate group practice. Upload and maintain all required credentialing and enrollment documentation. Coordinate and obtain provider approval signatures on enrollment applications and supporting documents. Collaborate with the Fiscal/Billing department to ensure accurate provider enrollment, reimbursement setup, and payer compliance. Coordinate MassHealth enrollment for non-billing providers, including assisting with individual provider contracts for Ordering, Referring, and Prescribing (ORP) providers. Monitor and ensure completion of required five-year revalidation for CMS and MassHealth provider enrollments to maintain active participation. Track enrollment application status, respond to requests for additional information, and resolve issues with CMS, MassHealth, and Medicare Administrative Contractors (MACs). Offboard departing clinicians by terminating or updating CMS and MassHealth enrollments, ending reassignment relationships, and removing applicable system access in accordance with organizational policies. Maintain accurate provider enrollment records and ensure compliance with federal, state, payer, and organizational credentialing standards. Assist with the coordination the DPH Practitioner's Schedule for the Department of Medicine Takes minutes at Committee meetings and other meetings assigned

Required Qualifications:

Ability to communicate effectively Ability to multi-task and prioritize Ability to assist customers of diverse backgrounds Knowledge of software applications such as desktop publishing, project management, spreadsheets, and database management.

Preferred Qualifications:

Knowledge of the laws, rules, regulations, policies, procedures, specifications, standards and guidelines governing assigned agency or unit activities. Knowledge of the types and uses of agency databases, documents and files. Knowledge of state laws, procedures, and guidelines. About the

Department of Public Health:

The mission of the Massachusetts Department of Public Health (DPH) is to prevent illness, injury, and premature death, to assure access to high-quality public health and health care services, and to promote wellness and health equity for all people in the Commonwealth. We envision a Commonwealth in which all people enjoy optimal health. Massachusetts ranks among the healthiest states according to comparative analyses, but we face numerous challenges, including chronic and infectious disease, substance abuse, violence, preventable hospitalizations, and health disparities. DPH coordinates programs and policies to address specific diseases and conditions and offers services to address the needs of vulnerable populations. We also develop, implement, promote, and enforce regulations and policies to assure that the conditions under which people live are most conducive to health and enable people to make healthy choices for themselves and their families. We license health professionals, healthcare facilities and a variety of businesses that impact public health. We operate the state laboratory and four public health hospitals. We monitor health status and manage vital records including births, marriages and deaths. We educate people about public health issues and work closely with local boards of health and community partners to identify and solve public health problems. More information can be found at:

MA Department of Public Health Pre-Offer Process:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori Education, licensure and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website.

ADA Reasonable Accommodation:

If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests . For questions regarding this requisition, please contact Executive Office of Health and Human Services, Human Resources at 1-800

• 510-4122 Ext.

# 4. Qualifications First consideration will be given to those applicants that apply within the first 14 days.

Office Support Specialist I:

Applicants must have at least (A) two years of full-time, or equivalent part-time, experience in administrative work experience or (B) any equivalent combination of the required experience and the substitutions below:

Substitutions:

I. An Associate's or higher degree with a major in business administration, business management or public administration may be substituted for the required experience. II. An Associate's or higher degree with a major other than in business administration, business management or public administration may be substituted for a maximum of one year of the required experience. Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed. Educational substitutions will only be permitted for a maximum of two years of the required experience. Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range. Comprehensive Benefits When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future. Want the specifics? Explore our Employee Benefits and Rewards! Title 101 CMR 23.00 ("Regulation") requires certain agency staff to have received the

COVID-19

vaccination and Influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and Influenza. An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply. The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.

Official Title:

Office Support Specialist I Primary Location :

United States-Massachusetts-Tewksbury-365

East Street Job :

Administrative Services Agency :

Department of Public Health Schedule :

Full-time Shift :

Day Job Posting :

Oct 5, 2026, 3:00:27

PM Number of Openings :

1

Salary :

57,865.34

• 81,582.

28 Yearly If you have Diversity, Affirmative Action or Equal Employment Opportunity questions or need a Reasonable Accommodation, please contact Diversity Officer /

ADA Coordinator:

Sandra Semedo:

• 6173488482

Bargaining Unit:

01-NAGE

•

Clerical/Administrative Confidential:

No Potentially Eligible for a

Hybrid Work Schedule:

No