Credentialing & Enrollment Coordinator

Beacon Health System; Granger (IN); On-site; USD 42,000 - 64,000; Full time

Job summary

Beacon Health System seeks a Credentialing Specialist to support initial and re-credentialing for Beacon Health System providers, including BMG physicians and affiliated hospitals. You will coordinate with credentialing agencies, payors, and CHA to ensure NCQA standards are met and documentation is complete.

You will maintain CAQH and NPPES records, prepare letters, and report status to leadership, while attending CHA meetings and supporting ongoing credentialing operations.

Qualifications

• High school diploma or equivalent; associate degree preferred; three years credentialing experience desired.
• Knowledge of NCQA standards and regulatory requirements; ability to meet deadlines.
• Proficient computer skills including data entry, word processing, and spreadsheets.
• Excellent communication and interpersonal skills; ability to coordinate with many stakeholders.
• Flexible hours and ability to work in an office environment.

Responsibilities

• Coordinate credentialing with outside agencies, regulatory bodies, payors, and providers.
• Complete NCQA/payor credentialing standards and department policies.
• Prepare letters of acceptance and report deficiencies as needed.
• Serve as liaison with CHA Medical Director on credentialing status.
• Attend CHA Credentialing Committee meetings and take minutes.
• Develop systems to review CHA-contracted facilities credentialing.
• Complete Primary Source Verifications for CVO Alliance customers.
• Schedule and monitor delegation audits for CHA and CVO Alliance.
• Notify stakeholders of credentialing timelines and changes.

Skills

NCQA/credentialing knowledge

Analytical skills

Communication skills

Interpersonal skills

Data entry / computer skills

Organization skills

Time management

Education

High school diploma or equivalent

Associate's Degree in Business/Health Administration preferred

Tools

CAQH

NPPES

MS Office

Job description

Beacon Health System seeks a Credentialing Specialist to support initial and re-credentialing for Beacon Health System providers, including BMG physicians and affiliated hospitals. You will coordinate with credentialing agencies, payors, and CHA to ensure NCQA standards are met and documentation is complete.

You will maintain CAQH and NPPES records, prepare letters, and report status to leadership, while attending CHA meetings and supporting ongoing credentialing operations.