Provider Credentialing & Enrollment Specialist

Beacon Health System; Granger (IN); On-site; USD 42,000 - 60,000; Full time

Job summary

Beacon Health System is seeking a Credentialing Specialist to manage initial and re-credentialing for physicians and allied health providers across Beacon Medical Group and affiliated entities. You will coordinate with credentialing agencies, payors, and hospital partners to ensure NCQA-aligned processes and timely completion of reviews.

Responsibilities include preparing documentation, reporting, maintaining CAQH/NPPES data, and educating new providers on licensure deadlines and required

Qualifications

• High school diploma required; Associate's degree preferred.
• Three years credentialing experience desired.
• Familiarity with NCQA standards.
• Strong math and analytical abilities.

Responsibilities

• Coordinate credentialing with providers, agencies and payors.
• Ensure NCQA and payor standards are met per policy.
• Prepare letters of acceptance; report deficiencies.
• Maintain CAQH profiles and NPPES identifiers for providers.
• Schedule delegation audits and liaise with CHA/CVO.
• Educate physicians on licensure deadlines and required applications.

Skills

Credentialing knowledge

Analytical skills

Communication skills

Organization skills

Computer skills

Education

Associate's Degree in Business, Health Administration or related field

Tools

CAQH Online

NPPES

Office database apps

Job description

Beacon Health System is seeking a Credentialing Specialist to manage initial and re-credentialing for physicians and allied health providers across Beacon Medical Group and affiliated entities. You will coordinate with credentialing agencies, payors, and hospital partners to ensure NCQA-aligned processes and timely completion of reviews.

Responsibilities include preparing documentation, reporting, maintaining CAQH/NPPES data, and educating new providers on licensure deadlines and required