Credentialing & Patient Accounts Specialist

Joint Relief Institute; United States; Hybrid; USD 55,000 - 65,000; Full time

Job summary

A healthcare organization is seeking a Credentialing & Patient Accounts Specialist for a hybrid role in Oakbrook/Orland Park/Stony Island. The ideal candidate will support provider credentialing and patient accounts management, ensuring timely insurance verification and reducing claim delays. Requires a minimum of 3 years of relevant experience and strong communication skills. The pay range is $55,000–$65,000 based on experience and qualifications.

Qualifications

• Minimum of 3 years in credentialing, payer enrollment, or revenue cycle management.
• Familiarity with Medicare, Medicaid, and commercial payer rules.
• Strong understanding of insurance verification and eligibility processes.

Responsibilities

• Complete all initial credentialing and payer enrollments.
• Verify insurance benefits and manage patient accounts.
• Communicate enrollment status to reduce claim delays.

Skills

Provider credentialing

Patient accounts management

Insurance verification

Communication skills

Attention to detail

Tools

CAQH

PECOS

Availity

Medical billing systems

Job description

Credentialing & Patient Accounts Specialist – Joint Relief Institute (JRI)

Full-Time | Oakbrook / Orland Park / Stony Island

Summary

The Credentialing & Patient Accounts Specialist is a hybrid role supporting two critical revenue functions for JRI: provider credentialing/payer enrollmentand patient accounts/RCM workflows. This role ensures providers remain active with all payers while also assisting with insurance verification, patient account accuracy, administrative denials, and communication with payers and patients. This dual focus protects revenue, reduces delays, and supports clean claims and timely reimbursement.

Key Responsibilities

Complete and track all initial credentialing, recredentialing, and payer enrollments.

Manage CAQH, NPPES, PECOS, Availity, Medicaid, and commercial payer portals.

Track expirations, initiate renewals, and maintain up-to-date rosters.

Communicate enrollment status to RCM, billing, and leadership to prevent claim delays.

Troubleshoot enrollment rejections, data mismatches, and payer requests.

RCM & Patient Accounts Support (50%)

Verify insurance benefits, coverage limitations, and referral/authorization requirements.

Support patient financial counseling and explanation of benefits when needed.

Work denials related to credentialing, eligibility, coverage gaps, and demographic errors.

Communicate with patients regarding balances, updated insurance, or missing information.

Partner with billing and coding teams to reduce rejections and increase first-pass acceptance.

Support revenue cycle projects such as payer audits, roster reconciliation, and reporting.

Qualifications

3 years minimum of credentialing, payer enrollment, or RCM experience

Knowledge of Medicare, Medicaid, and commercial payer rules

Experience with CAQH, PECOS, Availity, payer portals, and medical billing systems

Strong understanding of insurance verification and eligibility processes

High attention to detail and ability to manage multiple deadlines

Excellent communication and follow-through

Core Competencies

Detail-oriented and organized

Deadline-driven, proactive, and persistent

Compliance-minded with understanding of payer and regulatory requirements

Able to work cross-functionally with billing, providers, and leadership

Suggested Pay Range

$55,000–$65,000, depending on experience and qualifications.