Specialist-Credentialing

Job description

Credentialing Specialist 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 pr...