Credentialing Specialist Job at USA Clinics Group, Northbrook, IL

bWI0VFpldCtBMDR1TnNnNDFhMUxTSGVu
  • 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: $24.00-$30.00

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 + Sick Time

Job Tags

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

Similar Jobs

IT Associates

Legal QA Analyst Job at IT Associates

 ...Location - Minneapolis, MN (2 days a week onsite) Our client is looking to add a Legal Invoice Review Quality Assurance Analyst (QA Analyst) that will be responsible for performing the quality assurance testing for the Legal Bill Analysis Center of Excellence (... 

PTR Global

Workplace Assistant / Office Admin / Facilities Admin (Part Time) Job at PTR Global

 ...such as maintaining office supplies and inventory, supporting new hire setup, and ordering/re-stocking snacks. Escort visitors such...  ...there is an opportunity to do so. Requirements: Proven experience 3-5 years as an office assistant or in a relevant... 

Mastech Digital

Heating And Air Conditioning Engineer Job at Mastech Digital

 ...their thermal cooling system service and repair organization. This role consists of providing...  ...support, in-person and over the phone, for diagnosing and repair of their cooling...  ...after-hours technical support via company cell phone, on a rotating basis, to our global... 

24 Seven Talent

Freelance Videographer Job at 24 Seven Talent

 ...Maintain a low-impact presence onsite (limited equipment footprint) to emphasize the in-person experience. Collaborate with the photographer and event team for best coverage. Who we're looking for: Experienced freelance videographer comfortable filming live... 

AMERICAN METALS SUPPLY LLC

Forklift Operator (Stand-Up) Job at AMERICAN METALS SUPPLY LLC

 ...material from assigned locations. Pull and package orders for loading. Properly load and strap loads securely for next day delivery. Verify accuracy of orders picked and shipments received. Keep work areas clean and organized throughout the shift. Forklift...