Provider Credentialing & Enrollment Lead

Beacon Health System; Granger (IN); On-site; USD 70,000 - 110,000; Full time

Job summary

Beacon Health System is seeking a Credentialing and Enrollment Supervisor to oversee provider enrollment, CVO, CHA, and ACO credentialing representatives. You will ensure timely initial and re-credentialing for Beacon Health System and contracted providers, coordinating with physicians, payors, and regulatory bodies to meet NCQA standards.

You will develop systems to review credentialing applications, supervise the team, and maintain accurate records while ensuring timely reporting and adherence

Qualifications

• Requires Associate's or Bachelor's degree in Business, Health Administration or related field.
• Three years of credentialing experience and/or supervisory experience in healthcare or health insurance.
• Knowledge of NCQA standards and regulatory requirements.

Responsibilities

• Supervise credentialing and provider enrollment team.
• Complete performance reviews and provide training and feedback.
• Coordinate credentialing/enrollment activities with CHA, CVO Alliance, payors and regulatory bodies.
• Maintain and monitor credentialing databases and policies.

Skills

Credentialing knowledge

Analytical skills

Office skills

Computer skills

Communication

Interpersonal skills

Relationship building

Education

Associate's or Bachelor's in Business/Health Administration or related field

Tools

NCQA standards

Job description

Beacon Health System is seeking a Credentialing and Enrollment Supervisor to oversee provider enrollment, CVO, CHA, and ACO credentialing representatives. You will ensure timely initial and re-credentialing for Beacon Health System and contracted providers, coordinating with physicians, payors, and regulatory bodies to meet NCQA standards.

You will develop systems to review credentialing applications, supervise the team, and maintain accurate records while ensuring timely reporting and adherence