Specialist-Credentialing

Indiana University Health SystemIndianapolis, IN
Hybrid

About The Position

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. The specialist may assist with preparation for NCQA/URAC and routinely audit practitioner files for compliance. This position plays a critical role in ensuring providers are properly credentialed and ready to deliver exceptional patient care. It offers an opportunity to build expertise in credentialing, work collaboratively across teams, and transition into a remote environment after training.

Requirements

  • Basic proficiency in Microsoft Office (Word, PowerPoint, Excel) required
  • Positive, helpful, and team‑oriented mindset
  • Proactive with the ability to find answers independently
  • Strong prioritization and organizational skills
  • Comfortable interacting with multiple teams and stakeholders
  • Detail‑oriented with a focus on compliance and accuracy

Nice To Haves

  • Associate’s degree in Business, Human Resources, Accounting, or Healthcare‑related discipline preferred
  • Certified Provider Credentialing Specialist (CPCS) preferred
  • One to two years of hospital or healthcare experience preferred
  • One year of credentialing experience preferred
  • INAMSS certification helpful

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 preparation and audits as needed

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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