Credentialing Specialist jobs in Illinois

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Credentialing Specialist
  • Nephrology Associates of Northern Illinois and...
  • Brook, IL FULL_TIME
  • NANI is seeking a Credentialing Specialist. This position will be responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care for NANI. This role will be responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals, Medicare, Medicaid and patient care facilities. The Credentialing Specialist will need to maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications. It will be necessary to maintain and update all Insurance Credentialing requirements and assist in the licensure application process for licensed professionals.
    Responsibilities
    • Compiles and maintains current and accurate data for all providers
    • Completes provider payer enrollment applications; monitors applications and follows-up as needed
    • Maintains copies of current state licenses, DEA certifications, malpractice coverage and any other required credentialing documents for all providers
    • Maintains knowledge of current health plan and agency requirements for credentialing providers
    • Sets up and maintains provider information in credentialing databases and systems
    • Tracks license and certification expirations for all providers to ensure timely renewals
    • Ensures practice addresses are current with health plans, agencies, and other entities
    • Tracks license, DEA and professional liability expirations for providers
    • Audits health plan directories for current and accurate provider information
    • Maintains confidentiality of provider information
    • Provides credentialing and privileging verifications
    #LP
  • 19 Days Ago

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Credentialing specialist
  • HexaQuEST Health, Inc.
  • Springfield, IL FULL_TIME
  • Title : Med Saff Credentialing and Verification Office Specialist Years of Experience : 3 years min, ideally 5 years Certification : Medical Services Management (CPMSM) and / or Provider Credentialing...
  • 22 Days Ago

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Credentialing Specialist
  • UnityPoint Health
  • Rock Island, IL FULL_TIME
  • OverviewCredentialing SpecialistFull Time; FTE 1.0DaysRock Island, IL The Credentialing Specialist is responsible for the privileging of new Medical Staff and Allied Health Professional Staff applicat...
  • 26 Days Ago

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Credentialing Specialist
  • ApexNetwork Physical Therapy
  • Highland, IL FULL_TIME
  • Credentialing Specialist Join our team as a Medical Billing Specialist at our corporate office in Highland, IL! At ApexNetwork Physical Therapy, patients come first, it's what we all believe. It's the...
  • 24 Days Ago

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Credentialing Specialist
  • ABC Home Medical Supply, Inc.
  • Crystal, IL FULL_TIME
  • The Credentialing Specialist is responsible for assisting in all aspects of the licensing and credentialing of the Company. The Specialist will process applications on behalf of the Company in order t...
  • 1 Day Ago

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Credentialing specialist
  • Citizant
  • Chicago, IL FULL_TIME
  • Company Description Citizant is a leading provider of professional IT services to the U.S. government. We seek to address some of our country's most pressing challenges in the areas of Agile applicati...
  • 3 Days Ago

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Credentialing Specialist
  • Green Key Resources
  • Miami, FL
  • ***This position has potential for remote/hybrid with training on site in 33183 ***Direct Hire Opening*** Pay:(flex depe...
  • 3/29/2024 12:00:00 AM

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Credentialing Specialist
  • Russell Tobin
  • New York, NY
  • Job Description Job Description Please find below details of the position. Position: Credentialing Specialist Location: ...
  • 3/29/2024 12:00:00 AM

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Credentialing Specialist
  • e-MDs
  • Hauppauge, NY
  • Summary of Job Responsible for preparing provider enrollment applications, demographic updates and tracking metrics for ...
  • 3/29/2024 12:00:00 AM

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Credentialing Specialist
  • N2S Healthcare Staffing Solutions LLC
  • Charlotte, NC
  • Title: Provider Services Specialist (Auto-Offer) Location: Charlotte, NC, 28208 Duration: 13 weeks Shift: Day 5x8-Hour (...
  • 3/28/2024 12:00:00 AM

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Credentialing Specialist
  • Atria Consulting
  • New York, NY
  • Busy New York City Hospital Corporation is looking for an experienced and organized Credentialing Specialist. The Creden...
  • 3/28/2024 12:00:00 AM

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Credentialing Specialist
  • PRIDE Healthcare
  • New York, NY
  • Job Description Job Description Role – Credentialing Specialist Location – New York, NY Shift – Day Pay - $25- $27/ hr C...
  • 3/28/2024 12:00:00 AM

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Credentialing Specialist
  • Infojini
  • Morristown, NJ
  • Job Description Job Description Position: Credentialing Specialist Location: Onsite: 475 South Street, AHS Corporate Off...
  • 3/27/2024 12:00:00 AM

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Credentialing Specialist
  • HEALTH NETWORK SOLUTIONS INC
  • Cornelius, NC
  • Job Description Job Description About Company: We are a privately-owned physician network in the Charlotte, NC Metro Are...
  • 3/26/2024 12:00:00 AM

Illinois (/ˌɪlɪˈnɔɪ/ (listen) IL-ih-NOY) is a state in the Midwestern and Great Lakes region of the United States. It has the fifth largest gross domestic product (GDP), the sixth largest population, and the 25th largest land area of all U.S. states. Illinois is often noted as a microcosm of the entire United States. With Chicago in northeastern Illinois, small industrial cities and immense agricultural productivity in the north and center of the state, and natural resources such as coal, timber, and petroleum in the south, Illinois has a diverse economic base, and is a major transportation hu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Specialist jobs
$42,252 to $53,504

Credentialing Specialist in West Des Moines, IA
Audit health plan directories and paperwork such as applications and licensing documentation for accuracy.
February 28, 2023
Credentialing Specialist in Somers Point, NJ
Collaborates with patients, significant others, physicians and other ancillary departments to become a multidisciplinary health care team, whose goal is to provide care that is continuous and well-coordinated.
May 18, 2023
Credentialing Specialist in Providence, RI
Performs ongoing monitoring and evaluates practitioner sanctions complaints and adverse actions to ensure compliance with accreditation and regulatory standards.
May 13, 2023
Distributes and tracks all credentialing application packets requested by department contacts for prospective practitioners.
May 12, 2023