Credentialing Specialist

OSF HealthCare; Rockford (IL); Hybrid; USD 60,000 - 80,000; Full time

Job summary

An established industry player in healthcare is seeking a meticulous Credentialing Specialist to join their team in Rockford, IL. This role is vital in ensuring the credentialing and re-credentialing processes are executed efficiently and in compliance with regulatory standards. The ideal candidate will thrive in a collaborative environment, demonstrating strong time management and communication skills. With a blend of in-office and remote work, this position offers flexibility while contributing to the mission of enhancing healthcare quality. If you are detail-oriented and passionate about making a difference in the healthcare field, this opportunity is perfect for you.

Qualifications

• One year experience in healthcare or related field required.
• Strong critical thinking and decision-making skills needed.

Responsibilities

• Responsible for the credentialing and re-credentialing process.
• Collaborates with Medical Staff Offices and OSF leadership.

Skills

Attention to detail

Time management

Team communication

Self-starter

Problem-solving

Education

High School/GED

Associates degree

Tools

Microsoft Office Suite

Credentialing software

Job description

Total Rewards

Your life - our Mission

OSF HealthCare is dedicated to providing Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition, and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF.

Expected pay for this position is $23.35 - $27.48/hour. Actual pay will be determined by experience, skills, and internal equity. This is an Hourly position.

Overview

This job is located in Rockford, IL

M-F Business Hours

Hours can start anywhere from 7am to 8:30 am.

After being fully trained, it's one week in office and one week remote.

We are looking for a candidate that has the following:

• High level of attention to detail, time management skills, and ability to meet deadlines
• Ability to communicate well and function in a team environment
• Self-starter and ability to function independently as needed
• Desired character traits include positive attitude, personal integrity, and accountability

POSITION SUMMARY: The Credentialing Specialist is responsible for the credentialing and re-credentialing process for OSF HealthCare hospitals and the Direct Access Network. This position facilitates all aspects of credentialing, including appointment, reappointment, changes in privileges, changes in categories, and resignations. The Credentialing Specialist collaborates with Medical Staff Offices, OSF leadership, and recruitment to meet requested start dates. Ensures compliance with accrediting and regulatory agencies such as The Joint Commission, Centers for Medicare and Medicaid Services (CMS), and the National Committee for Quality Assurance (NCQA) with regard to credentialing and maintaining working knowledge of the statutes and laws.

Qualifications

REQUIRED QUALIFICATIONS:

Education: High School/GED

Experience: One year experience in healthcare or related experience

Other skills/knowledge: Working knowledge of Microsoft Office Suite, excellent written and verbal communication and interpersonal skills, strong critical thinking, decision making, and problem-solving skills. Must be able to multi-task and prioritize tasks and responsibilities.

PREFERRED QUALIFICATIONS:

Education: Associates with 1 year experience of clerical in a healthcare setting

Experience: Prior credentialing such as Medical Staff Office, CVO, physician practice, or insurance/provider enrollment environment

License/Certification: NAMSS certification as a Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM)

Other skills/knowledge: Working knowledge of Joint Commission, CMS, or NCQA standards and working knowledge of credentialing software.

OSF HealthCare is an Equal Opportunity Employer.