Credentialing Operations Lead: Automation & Onboarding

USA Clinics Group; Northbrook (IL); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Health

Dental

Vision

401k & Match

Paid time off

Job summary

USA Clinics Group is seeking a Credentialing Manager in Northbrook, IL to oversee credentialing and enrollment activities while optimizing workflows. You will ensure timely provider onboarding while managing a dedicated team.

The role demands at least 5 years of experience in credentialing and payer enrollment, as well as proficiency with credentialing software. Key benefits include health, dental, and a 401k match.

Qualifications

• Minimum of 5 years of experience in provider credentialing and payer enrollment.
• Strong knowledge of provider licensing requirements.
• Experience with productivity metrics and onboarding timelines.

Responsibilities

• Manage day-to-day credentialing operations ensuring timely completion.
• Monitor department productivity and application statuses.
• Develop operational reports and KPI tracking tools.
• Train and support credentialing staff.
• Coordinate escalations with payers and providers.

Skills

Knowledge of CAQH

Medicare and Medicaid enrollment

Proficiency with credentialing software

Managing credentialing workflows

Education

Associate's or Bachelor's degree in Healthcare Administration

Tools

Credentialing software

Reporting tools

Job description

USA Clinics Group is seeking a Credentialing Manager in Northbrook, IL to oversee credentialing and enrollment activities while optimizing workflows. You will ensure timely provider onboarding while managing a dedicated team.

The role demands at least 5 years of experience in credentialing and payer enrollment, as well as proficiency with credentialing software. Key benefits include health, dental, and a 401k match.