Credentialing Coordinator

　　Job Ref

　　2400337

　　Category

　　Administrative & General Support

　　Job Family

　　Administrative / Secretarial

　　Department

　　P/R Credentialing

　　Schedule

　　Full-time

　　Facility

　　ProHealth

　　6626 East 75th Street

　　Indianapolis, IN 46250

　　United States

　　Shift

　　Day Job

　　Hours

　　8:00am - 5:00pm, Monday - Friday, flexible

　　Join Community

　　Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you.

　　Make a Difference

　　The Credentialing Coordinator is responsible for management and implementation of the ProHealth Provider Network Credentialing Process. This role will be coordinating all activities related to network credentialing including, but not limited to applications, verifications, Credentialing Committee and maintenance of system files and documents. Must maintain current knowledge of payer contracts to load contracted payers to the credentialed provider. Provides completion of third-party payer credentialing and contracting applications to allocated client base. Additional functions include the completion of provider state and federal license renewals, hospital initial and reappointment applications, and collection of provider information, signatures, and documents. Remain compliant with all National Committee for Quality Assurance (NCQA) changes and ensure all changes are made to the Credentialing Process.

　　Exceptional Skills and Qualifications

　　Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a positive attitude toward problem-solving.

　　· High School Diploma or GED equivalent required.

　　· Three to five (3-5) years of experience in credentialing or a strong background in the health insurance industry or managed care field.

　　· Strong attention to detail.

　　· Familiarity with the National Committee for Quality Assurance (NCQA).

　　Why Community?

　　At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community.

　　Caring people apply here.

　　Community Health Network complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Community Health Network does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.