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Credentialing Specialist
$46k-58k (estimate)
Full Time | Ambulatory Healthcare Services 7 Days Ago
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Midwest Orthopaedics at RUSH is Hiring a Credentialing Specialist Near Westchester, IL

It’s the people that make the difference. Are you ready to make your impact?

Midwest Orthopaedics at Rush is nationally recognized as a leader in comprehensive orthopedic services. The Orthopedic Program at Rush University Medical Center is ranked 5th in Orthopedics by U.S. News and World Report. Founded in 2003, MOR is comprised of internationally-renowned Orthopedic and Spine surgeons who pioneer the latest advances in technology and surgical techniques to improve the lives and activity levels of patients around the world. MOR doctors are the official team physicians for the Chicago White Sox, Chicago Bulls, Chicago Fire Soccer Club and DePaul University Athletics.

Ready to join in? We are looking for a Credentialing Specialist to assist in the onboarding credentialing process for all providers. The successful candidate must possess excellent communication skills and be detailed oriented. This is a remote position, candidate must be flexible to travel to our corporate office in Westchester, IL for training, meetings and as needed. 

Responsibilities

  • Initiates and maintains Credentialing files for all Physicians, Physician Assistants, Nurse Practitioners, Fellows, Physical Therapists, Occupational Therapists, Nurses and Athletic Trainers
  • Tracks physician appointment and reappointment deadlines with area hospitals, keeping all physicians active and up-to-date without disruption
  • Works with accounting department to process appropriate fees, membership dues and license application fees
  • Provides education and orientation for new providers for credentialing process
  • Ensures credentialing functions meet applicable NCQA standards
  • “Point of contact” for associates, supervisors, physicians, vendors, Medicare and state licensing representatives, supplying time-sensitive information in an organized fashion
  • Expedites the credentialing process with hospitals, surgery centers, state and federal agencies, malpractice provider, and all payers
  • Maintains computer files, utilizing spreadsheet and database applications. (Credentialing software or Excel preferred.)
  • Facilitates transition to “paperless” credentialing –creating forms and reports as needed
  • Knowledge of credentialing processes in a healthcare setting
  • Excellent computer skills including, Credentialing software, Google Drive/Applications, Adobe Editing products, Microsoft Office and database creation
  • Ability to act diplomatically and confidentially while maintaining good customer relations with vendors, physicians and supervisors
  • Must be organized

Education and/or Experience

  • Associate's degree or equivalent from two-year college or technical school
  • 1-2 years' experience in credentialing or equivalent preferred

Our employees make the difference in our patients’ lives, and we value their contributions. Midwest Orthopaedics at Rush offers a comprehensive compensation and benefits package and an opportunity to grow and develop your career with an industry leader. Come see what we’re all about. Equal Opportunity Employer.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$46k-58k (estimate)

POST DATE

05/18/2024

EXPIRATION DATE

07/16/2024

WEBSITE

rushortho.com

HEADQUARTERS

WESTCHESTER, IL

SIZE

200 - 500

FOUNDED

2004

CEO

DENNIS VIELLIEU

REVENUE

$10M - $50M

INDUSTRY

Ambulatory Healthcare Services

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The following is the career advancement route for Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist. You can explore the career advancement for a Credentialing Specialist below and select your interested title to get hiring information.

If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Credentialing Specialist job description and responsibilities

A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.

03/14/2022: Des Moines, IA

A credentialing specialist can have certificates that will prove useful to their field.

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Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.

02/21/2022: Evansville, IN

Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.

02/01/2022: Las Cruces, NM

Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.

01/18/2022: Pueblo, CO

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Credentialing Specialist jobs

Credentialing specialists can often find work with a high school diploma or the equivalent.

01/25/2022: Kingsport, TN

Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.

03/01/2022: Parkersburg, WV

While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.

12/25/2021: Little Rock, AR

Make Use Of Advanced Software For Monitoring.

01/18/2022: New London, CT

Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.

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Step 3: View the best colleges and universities for Credentialing Specialist.

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