Provider Enrollment & Credentialing Representative
Beacon Health System2 days ago
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OnsiteFull-timeMid
Summary
Beacon Health System is seeking a Provider Enrollment & Credentialing Representative to join their team in Granger, IN. The role involves managing the credentialing and enrollment processes for healthcare providers to ensure compliance with NCQA standards.
About the Role
As a Provider Enrollment & Credentialing Representative, you will be responsible for the timely completion of initial and re-credentialing processes, as well as payer enrollments. You will coordinate with various stakeholders including physicians, credentialing agencies, and payors to ensure compliance with standards. Your daily tasks will include performing primary source verifications, managing provider profiles, and maintaining accurate data in credentialing software systems.
About You
Required:
- High school diploma or equivalent required.
- Minimum of three years of credentialing experience or equivalent experience in healthcare or health insurance.
Preferred:
- Associate’s Degree in Business, Health Administration, or a related field.
- Working knowledge of federal, state, and local laws and NCQA standards applicable to credentialing and enrollment.
Beacon Health System
Beacon Health System is the largest, locally owned and operated non-profit health care system in the region. Beacon is our community’s trusted partner in creating health and the majority provider of services to the underinsured and underserved. Beacon Children’s Hospital, Beacon Granger Hospital, Community Hospital of Bremen, Elkhart General Hospital, Epworth Hospital, Franciscan Beacon Hospital, Memorial Hospital of South Bend, Three Rivers Health, Beacon Medical Group, Memorial Family Medicine Residency Program, Beacon Health Foundation and Beacon Health & Fitness are powered by nearly 8,000 associates and over 1,000 physicians and providers. Visit Beacon online at www.beaconhealthsystem.org.
Granger, IN