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Healthcare Credentialing Administrator

2 months ago

Oak Brook, Illinois, United States Addison Group Full time

Job Title: Credentialing Coordinator

Location: Oak Brook, IL

Industry: Healthcare

Compensation: $25-$28/hr

About Our Client: Our client is a dynamic healthcare organization that prioritizes a cohesive team environment and a positive workplace culture.

Position Overview: The Credentialing Coordinator plays a vital role in overseeing the credentialing procedures for healthcare practitioners, ensuring adherence to health plan and regulatory standards, while maintaining precise documentation. This position demands proficiency with various credentialing software and the capacity to thrive in a high-energy setting.

Key Responsibilities:

  • Gather and uphold current and precise information for all healthcare providers.
  • Complete applications for provider payer enrollment and track their progress.
  • Maintain up-to-date copies of state licenses, DEA certifications, malpractice insurance, and other essential credentialing documents.
  • Establish and manage provider data within credentialing databases and systems.
  • Monitor license and certification expiration dates to ensure timely renewals.
  • Verify that practice addresses are accurate with health plans, agencies, and other relevant entities.
  • Conduct audits of health plan directories to ensure accurate provider information.
  • Provide verification of credentialing and privileging.

Qualifications:

  • Experience in credentialing, particularly with Illinois payors (experience with Michigan, New Jersey, Indiana, Texas, and Ohio payors is advantageous).
  • Familiarity with credentialing software such as One App, Pecos, CAQH, Webcrawler, and Impact.
  • Experience in working with credentialing contracts and health plans.
  • Strong attention to detail, technologically adept, and proficient with computer systems.
  • Positive references that highlight attendance and punctuality.

Additional Information:

  • Type of Employment: Contract-to-Hire (CTH)
  • Transportation: Personal vehicle required
  • Dress Code: Business Casual
  • Parking: Available on-site
  • Work Hours: Flexible start times between 7am and 9:30am, with 8-hour shifts and a 30-minute lunch break
  • Drug Screening: Required
  • Background Check: Required

Benefits:

  • Positive company culture
  • Cohesive team environment
  • Supportive management
  • Opportunity to engage with various credentialing systems and health plans

Addison Group is an Equal Opportunity Employer. We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state, and local laws. Reasonable accommodation is available for qualified individuals with disabilities, upon request.