Healthcare Credentialing Specialist - Impact & Growth

NorthShore University HealthSystem; Chicago (IL); On-site; USD 34,000 - 51,000; Full time

Benefits offered by this job

Premium pay

Tuition Reimbursement

Free Parking at designated locations

Wellness Program Savings Plan

Retirement Options with Company Match

Paid Time Off

Community Involvement Opportunities

Job summary

Endeavor Health is seeking a Credentialing Specialist in Chicago, IL for a full-time role. The position involves processing applications, verifying data, and maintaining provider profiles for hospital and payer enrollments.

The role requires credentialing experience, CPCS certification, and strong communication with HR, managers, and clinical leaders to ensure compliance and seamless revenue cycle operations.

Qualifications

• High School or equivalent required.
• Minimum credentialing experience preferred (2 years).
• Certified Provider Credentials Specialist (CPCS) required.

Responsibilities

• Process initial and reappointment applications using credentialing software.
• Review provider data to identify red flags and coordinate with HR and managers to resolve issues.
• Enroll and revalidate providers in Medicare/Medicaid and update data for enrollment and retention.
• Collaborate with network management to ensure plan data accuracy and verification.

Skills

Attention to detail

Communication skills

Multitasking

Team collaboration

Analytical thinking

Education

High School Diploma

CPCS Certification NAMSS

Tools

PECOS enrollment

IMPACT enrollment system

MSOW Credentialing Software

Palmetto GBA enrollment knowledge

Job description

Endeavor Health is seeking a Credentialing Specialist in Chicago, IL for a full-time role. The position involves processing applications, verifying data, and maintaining provider profiles for hospital and payer enrollments.

The role requires credentialing experience, CPCS certification, and strong communication with HR, managers, and clinical leaders to ensure compliance and seamless revenue cycle operations.