Specialist-Credentialing
Direct Jobs, Indianapolis, IN, United States
Overview
Location:
Fairbanks Hall
Schedule: Flex start between
7:00am-9:00am
upon successful completion of training
Work Model: Onsite during training;
remote upon successful completion of training (MUST RESIDE IN INDIANA)
Position Overview
This role supports Practice Operations by ensuring accurate and timely maintenance of provider credentialing documentation. July through September are the busiest months of the year due to the annual influx of new hires, making organization and attention to detail essential for success. May assist with preparation for NCQA/URAC; routinely auditing practitioner files for compliance.
Key Responsibilities
Maintain complete and accurate provider credentialing and re-credentialing files
Understand and anticipate daily provider needs related to credentialing
Review and audit files to ensure compliance and completeness
Collaborate with internal teams to obtain missing or additional documentation
Support enrollment of providers with government and commercial payer plans
Act as a resource for credentialing questions across departments
Provide administrative support to the credentialing committee
Assist with NCQA/URAC preparation and audits as needed
What Makes a Successful Candidate
Positive, helpful, and team-oriented mindset
Proactive with the ability to find answers independently
Strong prioritization and organizational skills
Comfortable interacting with multiple teams and stakeholders
Detail-oriented with a focus on compliance and accuracy
INAMSS certification
helpful
Qualifications
Associate's degree in
Business, Human Resources, Accounting, or Healthcare-related discipline
preferred
Certified Provider Credentialing Specialist (CPCS)
preferred
One to two years of hospital or healthcare experience preferred
One year of credentialing experience preferred
Basic proficiency in
Microsoft Office
(Word, PowerPoint, Excel) required
Why This Role Matters
This position plays a critical role in ensuring providers are properly credentialed and ready to deliver exceptional patient care. It offers an opportunity to build expertise in credentialing, work collaboratively across teams, and transition into a remote environment after training.
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Location:
Fairbanks Hall
Schedule: Flex start between
7:00am-9:00am
upon successful completion of training
Work Model: Onsite during training;
remote upon successful completion of training (MUST RESIDE IN INDIANA)
Position Overview
This role supports Practice Operations by ensuring accurate and timely maintenance of provider credentialing documentation. July through September are the busiest months of the year due to the annual influx of new hires, making organization and attention to detail essential for success. May assist with preparation for NCQA/URAC; routinely auditing practitioner files for compliance.
Key Responsibilities
Maintain complete and accurate provider credentialing and re-credentialing files
Understand and anticipate daily provider needs related to credentialing
Review and audit files to ensure compliance and completeness
Collaborate with internal teams to obtain missing or additional documentation
Support enrollment of providers with government and commercial payer plans
Act as a resource for credentialing questions across departments
Provide administrative support to the credentialing committee
Assist with NCQA/URAC preparation and audits as needed
What Makes a Successful Candidate
Positive, helpful, and team-oriented mindset
Proactive with the ability to find answers independently
Strong prioritization and organizational skills
Comfortable interacting with multiple teams and stakeholders
Detail-oriented with a focus on compliance and accuracy
INAMSS certification
helpful
Qualifications
Associate's degree in
Business, Human Resources, Accounting, or Healthcare-related discipline
preferred
Certified Provider Credentialing Specialist (CPCS)
preferred
One to two years of hospital or healthcare experience preferred
One year of credentialing experience preferred
Basic proficiency in
Microsoft Office
(Word, PowerPoint, Excel) required
Why This Role Matters
This position plays a critical role in ensuring providers are properly credentialed and ready to deliver exceptional patient care. It offers an opportunity to build expertise in credentialing, work collaboratively across teams, and transition into a remote environment after training.
#J-18808-Ljbffr