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Full Time Provider Credentialing Jobs in Indiana

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Full Time Provider Credentialing information

What is the difference between Full Time Provider Credentialing vs Part Time Provider Credentialing?

AspectFull Time Provider CredentialingPart Time Provider Credentialing
Credentials RequiredSame certifications, licenses, and background checks as full-time providersSame credentials, but may require additional verification for limited hours
Work EnvironmentFull-time employment, consistent schedule, often in clinics or hospitalsPart-time hours, flexible scheduling, similar settings
Employer & Industry UsageUsed by healthcare organizations hiring full-time staffUsed for part-time or per diem providers in healthcare

Full Time Provider Credentialing involves verifying credentials for providers working full-time, ensuring they meet all industry standards for continuous employment. Part Time Provider Credentialing applies to providers working fewer hours, with similar credential requirements but often with additional verification for limited schedules. Both processes ensure providers are qualified and compliant with industry standards, but differ mainly in employment status and scheduling.

What are the most commonly searched types of Provider Credentialing jobs in Indiana? The most popular types of Provider Credentialing jobs in Indiana are:
What cities in Indiana are hiring for Full Time Provider Credentialing jobs? Cities in Indiana with the most Full Time Provider Credentialing job openings:
Full Time Provider Credentialing jobs near you
Provider Relations Representative

Provider Relations Representative

American Health Partners

Columbus, IN • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago

Job description

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. 

If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! 

Benefits and Perks include:

  • Affordable Medical/Dental/Vision insurance options
  • Generous paid time-off program and paid holidays for full time staff
  • TeleDoc 24/7/365 access to doctors
  • Optional short- and long-term disability plans
  • Employee Assistance Plan (EAP)
  • 401K retirement accounts
  • Employee Referral Bonus Program

ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation 

• Contracting providers and essential vendors in current service areas to maintain CMS adequacy and providing necessary services in the care of the Plan members

• Insuring providers and essential vendors in current service areas meet the credentialing requirements for their appropriate service lines

• Educating providers on the Health Plan(s) functions and roles in caring for its membership

• Ongoing educational updates as prescribed by CMS and the Health Plan(s) policies

• To conduct the education presentations of the Health Plan(s) providers to insure their understanding and commitment with the Health Plan(s)

• Monitor, maintain and support provider relationships to insure network coverage in all areas

• To work with and be involved in implementation as needed

• Establish a positive work environment that encourages participation in process improvement and commitment to department/company success

• Complete corporate assignments as assigned

Required Skills:

• Must have knowledge and familiarity with all levels of medical services and ability to rapidly develop working relationships

• Must be able to accept instructions and work independently in the completions of goals and assignments

• Must have strong negotiation, organization, presentation and time management skills

• Must be able to effectively communicate with all levels of medical staff to explain Health Plan(s) program, benefits and goals

• Must be able to work effectively in a team environment 

• Excellent computer skills, including Microsoft Office Suite

• Must be self-motivated, dependable, team and goal-oriented

Required Work Experience:  

• Experience in the health care field required

• Prior experience in network development / network services is preferred

• Prior experience with acute and post-acute facilities is beneficial

• Prior experience with Medicare Advantage plans is helpful

Licensing/Certification/Education Requirements:  

• Bachelor’s degree 

Other Requirements:

• Must be available to work 8 a.m. until 5 p.m. local time

• Position requires travel to network provider locations.

• Teleworking is an option if criteria are met

EQUAL OPPORTUNITY EMPLOYER

Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made.

This employer participates in E-Verify.

American Health Partners logo

About American Health Partners

Sourced by ZipRecruiter

American Health Partners is a family of six divisions staffed by outstanding employees who care deeply about others. Since our inception more than 45 years ago, we have been committed to bringing the highest quality healthcare available to our communities. That commitment continues to serve us, our patients, our customers and our partners well. Today, our diverse healthcare offerings serve nearly 12,000 individuals annually across multiple states. We operate in both urban and rural communities where people need healthcare close to home. By working closely with hospitals and other providers, we offer cost-effective options that give individuals greater control over their healthcare.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Franklin, TN, US

Year founded

1976

Social media

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