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  • Credentialing Coordinator

    2 months ago

    Chicago, United States Norwegian American Hospital Full time

    The credentialing coordinator is responsible for leading, coordinating, monitoring, and maintaining the credentialing/re-credentialing process for all payers and all providers in the Humboldt Park Health Partners network. The coordinator will ensure interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and...

  • Credentialing Coordinator

    3 months ago

    Chicago, United States Humboldt Park Health Full time

    Position Summary: The credentialing coordinator is responsible for leading, coordinating, monitoring, and maintaining the credentialing/re-credentialing process for all payers and all providers in the Humboldt Park Health Partners network. The coordinator will ensure interpretation and compliance with the appropriate accrediting and regulatory agencies,...

  • Credentials Coordinator

    2 months ago

    Chicago, United States University of Chicago Medicine Full time

    Join UChicago Medicine as a Credentials Coordinator. The Credentials Coordinator manages the medical staff credentialing program and supports Medical Staff Organization function by:Processing medical staff applications for appointment and reappointme Coordinator, Staff, Medical, Healthcare, Clinical

  • Credentials Coordinator

    2 months ago

    Chicago, United States University of Chicago Medical Center Full time

    Job Description Join UChicago Medicine as a Credentials Coordinator. The Credentials Coordinator manages the medical staff credentialing program and supports Medical Staff Organization function by:Processing medical staff applications for appointment and reappointment in a timely manner. Facilitating and supporting medical staff credentials and privileges...

  • Credentials Coordinator

    4 hours ago

    Chicago, United States UChicago Medicine Full time

    Job Description Be a part of a world-class academic healthcare system, UChicago Medicine , as a Credentials Coordinator at our main medical campus. The Credentials Coordinator manages the medical staff credentialing program and supports Medical Staff Organization function by: Processing medical staff applications for appointment and reappointment in a timely...

  • Credentials Coordinator

    3 weeks ago

    Chicago, United States The University of Chicago Medicine Full time

    Job Description: Be a part of a world-class academic healthcare system, UChicago Medicine, as a Credentials Coordinator at our main medical campus. The Credentials Coordinator manages the medical staff credentialing program and supports Medical Staff Organization function by:Processing medical staff applications for appointment and reappointment in a timely...

  • Credentials Coordinator

    4 weeks ago

    Chicago, United States The University of Chicago Medicine Full time

    Job Description: Join UChicago Medicine as a Credentials Coordinator. The Credentials Coordinator manages the medical staff credentialing program and supports Medical Staff Organization function by:Processing medical staff applications for appointment and reappointment in a timely manner. Facilitating and supporting medical staff credentials and privileges...

  • Credentials Coordinator

    4 weeks ago

    Chicago, United States The University of Chicago Medicine Full time

    Job Description: Join UChicago Medicine as a Credentials Coordinator. The Credentials Coordinator manages the medical staff credentialing program and supports Medical Staff Organization function by:Processing medical staff applications for appointment and reappointment in a timely manner. Facilitating and supporting medical staff credentials and privileges...

  • Credentials Coordinator

    3 weeks ago

    Chicago, United States The University of Chicago Medicine Full time

    Job Description: Join UChicago Medicine as a Credentials Coordinator. The Credentials Coordinator manages the medical staff credentialing program and supports Medical Staff Organization function by:Processing medical staff applications for appointment and reappointment in a timely manner. Facilitating and supporting medical staff credentials and privileges...

  • Credentialing and Provider Enrollment Coordinator

    3 weeks ago

    Chicago, United States Balance Health Full time

    About Balance Health Balance Health empowers people to live full lives by helping them improve and maintain mobility. We do this by bringing together leading podiatrists, orthopedic surgeons, vascular surgeons, and physical therapists and providing them the tools and resources necessary to deliver exceptional patient care. This mission has made us the...

  • Credentialing and Provider Enrollment Coordinator

    4 weeks ago

    Chicago, United States Balance Health Full time

    Job DescriptionJob DescriptionDescription:About Balance HealthBalance Health empowers people to live full lives by helping them improve and maintain mobility. We do this by bringing together leading podiatrists, orthopedic surgeons, vascular surgeons, and physical therapists and providing them the tools and resources necessary to deliver exceptional patient...

  • Credentialing Specialist

    4 days ago

    Chicago, Illinois, United States Humboldt Park Health Full time

    Position Overview: The Credentialing Specialist plays a crucial role in overseeing, coordinating, and sustaining the credentialing and re-credentialing processes for all healthcare providers within the Humboldt Park Health network. This position ensures adherence to the standards set by relevant accrediting and regulatory bodies while maintaining a...

  • Credentialing Specialist

    4 days ago

    Chicago, Illinois, United States Humboldt Park Health Full time

    Position Overview: The Credentialing Specialist plays a pivotal role in overseeing, coordinating, and sustaining the credentialing and re-credentialing processes for all providers within the Humboldt Park Health network. This position ensures adherence to relevant regulatory and accrediting standards while cultivating a comprehensive understanding of the...

  • Insurance Coordinator

    4 days ago

    Chicago, United States The Alden Network Full time

    NO OUT OF STATE APPLICANTS PLEASE.ONLY APPLICANTS LOCATED IN ILLINOIS WILL BE CONSIDERED. JOB DESCRIPTION Perform a variety of administrative duties which include billing claims, correct rejected claims and follow up on them. Responsible for monthly goals in Accounts receivable pertaining to your payor. Work with other team members within the billing...

  • Credentialing Specialist

    5 days ago

    Chicago, Illinois, United States The University of Chicago Medicine Full time

    Position Overview:Join a prestigious academic healthcare institution as a Credentialing Specialist within the Medical Staff Office. This role is pivotal in overseeing the initial and renewal application processes, collaborating with healthcare providers to ensure timely completion of applications. Your responsibilities will include reviewing submissions for...

  • Government Credentialing Specialist

    2 months ago

    Chicago, United States Northwestern Medicine Full time

    Remote work from Illinois, Wisconsin, Indiana, and Iowa Description The Government Credentialing Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation...

  • Credentialing Assistant

    1 month ago

    Chicago, United States The University of Chicago Medicine Full time

    Job Description: Be a part of a world-class academic healthcare system at UChicago Medicine as a Credentialing Assistant for our Medical Staff Office department. Manage the initial and re-appointment application process by working with providers to complete application timely. Review applications for completeness and accuracy; work with providers to obtain...

  • Medical Staff Credentialing Specialist

    4 days ago

    Chicago, Illinois, United States The University of Chicago Medicine Full time

    Position Overview:Become an integral part of a prestigious academic healthcare institution, The University of Chicago Medicine, as a Credentials Coordinator. This role is pivotal in overseeing the medical staff credentialing program and enhancing the functionality of the Medical Staff Organization.Key Responsibilities:Manage the processing of medical staff...

  • Provider Enrollment and Credentialing Specialist

    5 days ago

    Chicago, Illinois, United States Balance Health Full time

    About Balance Health Balance Health is dedicated to enhancing the quality of life for individuals by improving and sustaining mobility. We achieve this by uniting top-tier podiatrists, orthopedic surgeons, vascular surgeons, and physical therapists, equipping them with the essential tools and resources to provide outstanding patient care. This commitment has...

  • Healthcare Authorization Coordinator

    4 days ago

    Chicago, Illinois, United States Eclaro Full time

    Position Title: Healthcare Authorization CoordinatorShift: Day 5x8-Hour (09:00 - 17:30)Location: Chicago, ILJob Duration: 13 weeks (with possibility of contract-to-hire)Role Overview:The Healthcare Authorization Coordinator plays a crucial role in managing and resolving referrals, precertifications, and prior authorizations to ensure compliance with...

Payor Credentialing Coordinator

2 months ago

Chicago, United States Northwestern Medicine Full time

Description The

Payor Credentialing Coordinator

reflects the mission, vision, and values of NMHC, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Managed Care Payor Credentialing Coordinator is responsible for initiation, completion and processing of all commercial and governmental payor credentialing for new and existing providers including mid-level providers. Responsibilities: Works with Payors to credential and re-credential providers and resolve participation/credentialing issues in a timely, organized manner. Notifies applicable staff of providers effective dates. Maintains all internal electronic database, correspondence and on-line information regarding Payor participation. Rosters out providers to the payer plans. Maintains delegated credentialing status with all the payers by following the NMPN Credentialing guidelines, policies and procedures. Uses automated credentialing systems (Morrisey) as required. Completes all credentialing applications within established time frames. Works with various departments and staff (Provider onboarding team, medical staff office and parallel facilities, NMPN, practices, CVO, etc.) to obtain required information. Ensures credentialing compliance with delegated credentialing agreements, payor plans, CMS laws, NMPN policies and procedures and NCQA standards. Works with Credentials Committee to make informed decisions about the providers accepted into the network Initiate and update the re-credentialing process ribbon for re-appointment application(s) launched, re-appointment application(s) in process, PSV complete recred and CVS complete recred. Works with payors to resolve all credentialing issues from sites, business office, payors, etc. Obtains formal termination requests as well as clarification when necessary. Terminates provider from system and plans. Sends termination email notification to appropriate internal teams. Stays informed and current on the provider groups payor plans, plan participation effective date formulas and carve outs. Load providers to appropriate plans based on payer, group and specialty. Maintains regular scheduled meetings with payers in order to discuss issues, workflow, loads, and/or additional needs. Reports information from meetings back to appropriate departments when necessary. Responsible for notifying payors of all provider changes (address, terminations, etc.) and reconciling payor rosters on established time frames. Additional responsibilities may include project work. Qualifications Required: 3+ years of previous physician payor, billing, practice or related experience. Proficiency in Microsoft Office software and overall computer systems skills. Proficiency in Microsoft Excel software to read and edit reports. Preferred: Bachelor's degree or 6 years of job-related experience. Previous experience in Credentialing, Managed Care or Medical Staff Office. Understanding of Medicare, Medicaid, HMOs, PPOs and private insurance companies. Understanding of the Morrisey system. The ability to create and maintain information database. Equal Opportunity Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

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