Remote Credentialing Specialist for ASC Provider Licensing

Illinois Bone & Joint Institute

Illinois

Hybrid

USD 28,000 - 45,000

Full time

5 days ago
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Benefits offered by this job

Medical insurance
Dental insurance
Vision insurance
401k with company match
Paid holidays
Paid time off

Job summary

Illinois Bone & Joint Institute is seeking a Credentialing Specialist to own end-to-end credentialing and re-credentialing for medical staff, from initial application to onboarding. You will lead state licensing and facility privileges while coordinating enrollment for government and commercial payors to ensure seamless care and reimbursement.

The role requires managing PSV processes, preparing applications, and conducting monthly audits, with a focus on accuracy, timeliness, and strong

Qualifications

  • High school diploma or equivalent required.
  • College degree preferred.

Responsibilities

  • Ensure the quality, accuracy and timeliness of the PSV process for incoming physicians.
  • Prepare, populate, and submit comprehensive initial credentialing and re-credentialing applications.
  • Plan, manage, and execute the cyclical reappointment process for all active medical staff.
  • Partner with hospitals and providers to streamline document collection and credentialing workflow.
  • Oversee updating of credentialing files, tracking tools, and internal lists.
  • Execute credentialing tasks within the onboarding checklist.
  • Perform monthly audits to monitor expiring documents (licenses, DEA, board certifications).
  • Document workflow steps, provider numbers, dates, and correspondence.
  • Outreach regarding pending credentials to prevent onboarding delays.
  • Serve as liaison for credentialing updates between physicians, clients and internal teams.
  • Maintain active provider and physician schedules.
  • Manage high-volume data entry, faxing, scanning and digital filing.
  • Assist other areas as needed and maintain a safe workspace.

Skills

Google Suite
Microsoft Word
Microsoft Excel
NCQA standards
TJC standards
Strong communication
Interpersonal skills

Education

High school diploma or equivalent
College degree preferred

Tools

CPCS certification

Job description

Illinois Bone & Joint Institute is seeking a Credentialing Specialist to own end-to-end credentialing and re-credentialing for medical staff, from initial application to onboarding. You will lead state licensing and facility privileges while coordinating enrollment for government and commercial payors to ensure seamless care and reimbursement.

The role requires managing PSV processes, preparing applications, and conducting monthly audits, with a focus on accuracy, timeliness, and strong

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