Credentialing Specialist Job at USA Clinics Group, Northbrook, IL

RFRMRVo3WU5hUjN2M2dyUHJpUEJyRzEwaWc9PQ==
  • USA Clinics Group
  • Northbrook, IL

Job Description

USA Clinics Group is growing and seeking a motivated Credentialing Specialist to join our team! The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid, commercial payers, hospitals, and regulatory agencies.

This position is flexible to be hybrid. Must work 2-3 days per week in the Northbrook, IL office.

RESPONSIBILITIES

  • Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications
  • Maintain internal provider grid to ensure all information is accurate and logins are available
  • Update each provider’s CAQH database file timely according to the schedule published by CMS
  • Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance
  • Complete re-validation requests issued by government and commercial payers
  • Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid
  • Complete re-credentialing applications for commercial payers
  • Credential new providers and re-credential current providers with hospitals at which they hold staff privileges
  • Work closely with the Billing and Authorizations Departments to identify and resolve any denials or authorization issues related to provider credentialing
  • Maintain accurate provider profiles on ECHO, CAQH, PECOS, NPPES, and CMS databases
  • Other duties as assigned

Requirements

  • 1 year of prior credentialing experience in a non-hospital setting, required
  • Associates Degree, required, Bachelors Degree , preferred
  • Knowledge of provider credentialing and its direct impact on the practice’s revenue cycle
  • Detail oriented with above average organizational skills
  • Excellent customer service skills; communicates clearly and effectively
  • Pay Rate: $26.00-$31.00

This position is flexible to be hybrid. Must work 2-3 days per week in the Northbrook, IL office.

Benefits

  • Health
  • Dental
  • Vision
  • 401k
  • PTO

Job Tags

Full time, Flexible hours, 2 days per week, 3 days per week,

Similar Jobs

The Manner

Executive Sous Chef Job at The Manner

 ...The Executive Sous Chef is responsible for overseeing the kitchen operations of the restaurant, ensuring the highest quality of food preparation, presentation, and service. This leadership position involves menudevelopment, managing kitchen staff, ensuring food safety... 

Manufacturing Technology, Inc.

Software Engineer Job at Manufacturing Technology, Inc.

 ...control and machine interface solutions for industry titans that drive the world economy and lead technical advancements including:NASA, Honeywell, Boeing, Pratt and Whitney, and GE. This is an opportunity to bring together your years of experience and intimate programming... 

United Parcel Service of America, Inc.

Customs Brokerage Compliance Specialist (Remote) Job at United Parcel Service of America, Inc.

 ...experience our rewarding culture, and work with talented teams that help you become better every day. We know what it takes to lead UPS into tomorrowpeople with a unique combination of skill + passion. If you have the qualities and drive to lead yourself or teams, there... 

United Parcel Service of America, Inc.

Technical Analyst | 10E Job at United Parcel Service of America, Inc.

 ...culture, and work with talented teams that help you become better every day. We know what...  ...cultivate your skills and take you to the next level. Job Description: Develops and...  .... Receives guidance on a regular basis. Entry-level to UPSs professional career track.... 

BluShark Digital

Freelance Legal Marketing Content Copywriter Job at BluShark Digital

 ...knowledge and passion for writing but tired of looking for a new freelance position each week? This flexible and consistent fully remote...  ...and we pride ourselves on using the unique abilities of strong writers for our clients. The most important things to bring to this position...