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Provider Enrollment & Credentialing Specialist

We're Hiring: Provider Enrollment & Credentialing SpecialistJoin Beacon Health System and help ensure our physicians and providers are credentialed and enrolled with payors efficiently and accurately.In this role, you'll:• Manage provider credentialing and recredentialing processes• Coordinate with physicians, payors, regulatory agencies, and healthcare partners• Maintain CAQH, NPPES, and provider enrollment records• Ensure compliance with NCQA standards and credentialing requirements• Support provider onboarding and successful practice start datesWe're seeking candidates with healthcare administration, credentialing, provider enrollment, health insurance, or medical office experience who are highly organized, detail-oriented, and thrive in a fast-paced environment.Apply today and help us deliver outstanding care, inspire health, and connect with heart. Provider Enrollment & Credentialing SpecialistBeacon Health System is seeking a detail-oriented Provider Enrollment & Credentialing Specialist to support the credentialing and enrollment of physicians and advanced practice providers across our growing health system.In this role, you will:• Manage provider credentialing and recredentialing processes• Coordinate provider enrollment with commercial and government payers• Maintain CAQH, NPPES, and provider records• Ensure compliance with NCQA standards and regulatory requirements• Partner with physicians, practice leaders, payers, and regulatory agencies to support successful provider onboardingQualifications:• High school diploma or equivalent required; Associate's degree in Business, Health Administration, or related field preferred• 3+ years of credentialing, provider enrollment, healthcare administration, or health insurance experience preferred• Knowledge of NCQA standards, CAQH, provider enrollment, and payer credentialing processes preferred• Strong organizational, analytical, and communication skills• Proficiency with Microsoft Office and database systemsIf you have experience as a Credentialing Specialist, Provider Enrollment Specialist, Medical Staff Coordinator, or in healthcare administration, we encourage you to apply.