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Medical Credentialing Specialist

Alteas Health
Highland, IL Full Time
POSTED ON 4/1/2025 CLOSED ON 12/23/2025

What are the responsibilities and job description for the Medical Credentialing Specialist position at Alteas Health?

Do you have experience within the Medical Credentialing world? Alteas is looking for an experienced Credentialing Specialist who will be responsible for payor credentialing, re-credentialing, and privileging processes for all medical providers.

What Are The Must Haves (aka Minimum Requirements)

  • High School Diploma/ Equivalent
    • Bachelor’s degree is a plus but not required
  • 2 years of hospital or physician practice billing experience
  • 2 years of provider enrollment & credentialing experience
  • Proficient in Microsoft Office
  • Other requirements that are nice to have but not required
    • 1 year of medical billing, cash posting, and/or charge entry work experience
    • Active Certified Provider Credentialing Specialist (CPCS) certification
Tell me about the job duties (aka key responsibilities but not all encompassing)

  • **This is an in office position** Office is located in Highland Park, IL.
  • Complete Provider credentialing and re-credentialing applications; monitor and follow-up action as needed
  • Process applications for appointments with health plans, agencies, and other entities
  • Maintain copies of current state licenses, malpractice coverage, and other required credentialing documents for healthcare Providers
    • Tracks licensure and professional liability expirations for appointed Alteas Health Providers to ensure timely renewals
  • Maintains knowledge of current health plan and agency requirements for credentialing
    • Ensure current health plan and agency credentialing requirements are documented and met
  • Assist with revenue cycle and AR denials
Why Should I Join Alteas Health (aka Benefits)

  • Direct lines of communication to the Leadership Team
  • Insurance Benefits (waiting period may apply)
    • Group-Term Life
    • Short-Term Disability
    • Accident Coverage
    • FSA
    • Medical, Dental & Vision
  • Competitive Salary
  • The minimum pay for this position is $22/hour and can fluctuate upward depending on experience
Other skills that help success in this position (aka soft skills)

  • Compassionate Resilience
  • Integrity and Humility
  • Innovation
  • Demonstrate good judgment and problem-solving.
  • Effective planning, communication, and organizational skills

About Alteas

Alteas Health is a rapidly growing, innovative dynamic company looking for a compassionate, resilient, self-starting, skilled provider who thrives in a fast-paced, ever-changing environment to join our clinical team. Focused on advancing the delivery of patient care by empowering the growth and success of our employees and valued partnerships; Alteas Health is a proven leader in providing sub-specialty care to an underserved population throughout Illinois, Indiana, Kansas, Michigan, Missouri, or Wisconsin.

Focused on advancing the delivery of patient care by empowering the growth and success of our employees and valued partnerships.

https://www.alteashealth.com/

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Salary : $22

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