Credentialing Specialist

Addison Group

Naperville (IL)

On-site

USD 50,000 - 60,000

Full time

14 days+

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Benefits offered by this job

Vision insurance

Medical insurance

401(k)

Free parking

Job summary

A leading healthcare group in Naperville is seeking a Credentialing Specialist to manage provider credentialing and licensing compliance. This full-time role requires strong organizational skills and experience with credentialing systems. Join a dynamic team committed to supporting healthcare providers.

Qualifications

Minimum 3 years of experience in credentialing.
Experience with third-party credentialing companies.

Responsibilities

Coordinate provider recredentialing and license renewals.
Oversee NPDB verifications and related documentation.

Skills

Communication

Organization

Detail-oriented

Tools

CAQH

PECOS

NPDB

ISME

Job description

4 days ago Be among the first 25 applicants

Direct message the job poster from Addison Group

Senior Healthcare Recruiter at Addison Group

Job Title: Credentialing Specialist

Pay: Up to $60,000 annually, depending on experience

About Our Client:

Our client is a respected healthcare group supporting a network of over 60 providers, including surgeons and physician assistants, who practice at 18 hospitals. They are seeking a skilled and proactive Credentialing Specialist to join their team full time onsite in Naperville. This role plays a critical part in maintaining licensing compliance and managing credentialing operations in partnership with a third-party vendor.

Job Description:

The Credentialing Specialist will be responsible for full-cycle provider credentialing, re-credentialing, and licensing maintenance, while serving as the main liaison with their credentialing vendor. The ideal candidate will have at least 3 years of experience in private practice credentialing and be familiar with regulatory bodies and credentialing platforms.

Key Responsibilities:

Coordinate and manage provider recredentialing, license renewals, and CME compliance.
Monitor and maintain accurate records related to lawsuits, malpractice tracking, and controlled substance licensure.
Oversee NPDB (National Practitioner Data Bank) verifications and related credentialing documentation.
Collaborate with Medical Risk Services and ensure timely reporting.
Work directly with third-party credentialing vendor (e.g., Catalyst) to delegate and follow up on tasks.
Ensure all providers meet the requirements for valid licensure, training, and certifications.
Maintain familiarity with ISME, PECOS, and CAQH systems.
Proactively communicate with providers for documentation needs.
Attend internal meetings, stay updated on industry standards, and support continuous improvement in credentialing processes.

Qualifications:

Minimum 3 years of experience in credentialing (private practice or MD staff preferred; vendor or hospital credentialing considered).
Experience working with third-party credentialing companies (e.g., Catalyst).
Knowledge of credentialing-related systems: CAQH, PECOS, NPDB.
Familiarity with ISME and NAMSS; NAMSS certification preferred.
Strong communication skills and ability to collaborate with cross-functional teams.
Highly organized and detail-oriented.
Strong references required to speak to work quality and performance.
Schedule: Monday–Friday, 9:00 AM–5:00 PM (full-time onsite)
Type: Direct Hire
Parking: Free lot adjacent to the building
Background Check and Drug Screen: Required
Transportation: Must have access to a car
High-impact role supporting a large and active medical provider team
Opportunity to lead credentialing processes and work cross-functionally with vendor operations
Room for growth and professional development
Business casual work environment
Employer committed to quick and responsive hiring process

Seniority level