Credentialing Specialist: Compliance & Privilege Expert

Erie Family Health Centers

Chicago (IL)

On-site

USD 55,000 - 70,000

Full time

2 days ago
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Benefits offered by this job

Competitive benefits package
Generous time off
Retirement plan

Job summary

Erie Family Health Centers seeks a Credentialing Specialist to manage credentialing and privileging for licensed practitioners and staff, ensuring accuracy and regulatory compliance.

You will serve as a key liaison, independently investigating discrepancies and preparing data for review by senior leadership and committees, while staying current with state and federal requirements and payer policies.

Qualifications

  • High School diploma or equivalent required.
  • Certified Professional Credentialing Specialist by National Association of Medical Staff Services preferred.
  • Bachelor's degree is a plus.

Responsibilities

  • Uniformly applies defined credentialing and privileging processes and conducts primary source verification.
  • Serves as main contact for credentialed providers during credentialing processes.
  • Independently investigates credential information and prepares data for senior leadership review.

Skills

Computer skills
Independent worker
Cultural competency
Communication skills
Problem solving
Credentialing standards
Clinical competence knowledge
Adaptability

Education

High School diploma
Certified Professional Credentialing Specialist
Bachelor's degree

Tools

Microsoft Office
Credentialing software
Databases

Job description

Erie Family Health Centers seeks a Credentialing Specialist to manage credentialing and privileging for licensed practitioners and staff, ensuring accuracy and regulatory compliance.

You will serve as a key liaison, independently investigating discrepancies and preparing data for review by senior leadership and committees, while staying current with state and federal requirements and payer policies.

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