Credentialing Specialist - Provider Enrollment & Verification

Endeavor Health; Chicago (IL); On-site; USD 34,000 - 51,000; Full time

Benefits offered by this job

Premium pay

Career growth opportunities

Health/Dental/Vision options

Tuition reimbursement

Free parking

Wellness program

Job summary

Endeavor Health is seeking a Credentialing Specialist in Chicago, IL to process credentialing applications and manage provider data for enrollment in hospital staff, government health plans, and networks. You will verify information, resolve issues, and maintain data for systems like Workday and Epic.

The role requires a CPCS certification, 2 years of credentialing experience, and strong attention to detail.

Qualifications

• High School required.
• 2 years credentialing experience preferred.
• Ability to analyze information and draw conclusions.
• Strong written and verbal communication skills.
• Ability to manage multiple priorities and deadlines.
• Knowledge of credentialing processes and regulatory standards.

Responsibilities

• Process initial and reappointment applications using credentialing software according to policies and regulatory standards.
• Review provider data to identify red flags and communicate with HR and managers to resolve issues.
• Enroll, revalidate, and modify providers in government plans to ensure enrollment and retention.
• Collaborate with network management to ensure plan data accuracy and provider verification.

Skills

Attention to detail

Communication skills

Team collaboration

Multitasking

Analytical thinking

Decision making

Interpersonal skills

Education

High School Diploma

Certified Provider Credentials Specialist (CPCS)

Tools

PECOS enrollment

MSOW Credentialing Software

IMPACT enrollment system

Medicare enrollment (Palmetto GBA)

Medicaid enrollment system

Job description

Endeavor Health is seeking a Credentialing Specialist in Chicago, IL to process credentialing applications and manage provider data for enrollment in hospital staff, government health plans, and networks. You will verify information, resolve issues, and maintain data for systems like Workday and Epic.

The role requires a CPCS certification, 2 years of credentialing experience, and strong attention to detail.