Credentialing Assistant

The Voluntary Protection Programs Participants' Association, Inc; Chicago, Northern (IL, KY); Hybrid; USD 42,000 - 56,000; Full time

Job summary

UChicago Medicine in Chicago, IL is seeking a Credentialing Assistant for the Medical Staff Office to manage initial and re-appointment applications with providers, ensuring timely, complete submissions.

The role emphasizes maintaining accurate provider data, meeting deadlines, and coordinating with credentialing coordinators to obtain missing documents and renewals as needed.

Qualifications

• Basic knowledge of medical staff administration and credentialing principles.
• Excellent PC skills, including electronic technology.
• Excellent communication skills, both oral and written.
• Excellent interpersonal skills to develop and maintain effective working relationships with physicians and department staffs.
• Must be organized and able to handle multiple priorities and consistently meet deadlines.

Responsibilities

• Manage the initial and re-appointment application process by working with providers to complete application timely.
• Review applications for completeness and accuracy; work with providers to obtain missing items.
• Create urgency with providers to return signed applications in a timely manner (10 days from initial request).
• Assist Credentialing Coordinators with obtaining outstanding documents to meet deadlines.
• Set up and maintain provider information in online credentialing databases and systems.
• Run weekly expirables reports to identify providers with upcoming expiring licenses and certifications.
• Ensure licenses, board certification, professional-liability insurance, DEA, and related information are renewed prior to expiration 100% of the time.
• Facilitate and track escalation of outstanding expirables and communicate with providers and hospital staff.

Skills

Medical staff administration

Credentialing principles

Communication skills

Interpersonal skills

Organization / multitasking

Job description

Be a part of a world-class academic healthcare system at UChicago Medicine as a Credentialing Assistant for our Medical Staff Office department . Manage the initial and re-appointment application process by working with providers to complete application timely. Review applications for completeness and accuracy; work with providers to obtain missing or incomplete items.

Essential Job Functions

• Manage the initial and re-appointment application process by working with providers to complete application timely. Review applications for completeness and accuracy; work with providers to obtain missing or incomplete items.
• Create urgency with provider to return signed applications in a timely manner, with a goal of having applications returned to facility for processing within 10 days from initial request.
• Assist Credentialing Coordinators with obtaining outstanding documents in order to meet established deadlines.
• Performs initial set up and maintenance of provider information in online credentialing databases and systems.
• Run weekly expirables reports to identify providers with upcoming expiring licenses and certifications.
• Ensures that provider’s medical licenses, board certification, professional-liability insurance coverage, DEA and other pertinent information are renewed prior to expiration 100% of the time.
• Facilitate and track the escalation of outstanding expirables and communicates with both providers and hospital medical staff to ensure licenses and privileges are current.

Qualifications

• Basic knowledge of medical staff administration and credentialing principles.
• Basic k nowledge of medical terminology.
• Knowledge of JCAHO standards, I llinois , Indiana, CMS and NCQA regulations preferred.
• Excellent PC skills, including electronic technology.
• Must be organized and able to handle multiple priorities and consistently meet deadlines.
• Excellent communication skills, both oral and written.
• Excellent interpersonal skills to develop and maintain effective working relationships with physicians and department staffs and other customers.

Position Details

• Job Type/FTE: Full Time - 1.0 FTE
• Shift: 8-hour shift - 8:00am - 4:30pm
• Unit/Department: Medical Staff OfficeCBA Code: Non-Union

In this role, we anticipate that you will generally work approximately 40 hours per week. We anticipate that you will generally be scheduled to work the Day shift, from approximately 8:00 am – 4:30 pm and will not be scheduled for on-call shifts. We anticipate you will be scheduled to work 100% at the Hyde Park campus. The days of the week that you are scheduled will be Monday-Friday. You will not be scheduled to work on weekends.