Credentialing Coordinator
1 month ago
Under the direction of the Manager, the Credentialing Coordinator will have responsibility for coordinating, monitoring, and maintaining the credentialing and re- credentialing of Provider Applicants. This includes facilitating all aspects of appointment, reappointment, and privileging maintenance for managed care, medical staff, and non-physician providers. The Credentialing Coordinator assists in compliance with the contracted managed care payers, accrediting and regulatory agencies (i.e., NCQA, Joint Commission, URAC), in regards to credentialing while developing and maintaining a working knowledge of the organizational guidelines, statutes and laws.
1. Collect relevant and critical data to determine applicant's eligibility to be credentialed.
2. Evaluate and review applications for accuracy and completeness.
3. Gather and conduct primary source verifications of confidential healthcare provider credentials.
4. Contact and follow up with applicant, primary source organizations department and contracted Medical Staff Offices to obtain documentation relevant to the credentialing process and data entry of all credentialing information provided.
5. Maintain the confidentiality of all business, work, and credentialing information.
6. Assist in managing the flow of information between the managed care payers, contracted MSO facilities and Health.
7. Process and communicate all Health practitioner additions, deletions, and/or changes to all contracted managed care payers.
8. Experience with Echo credentialing software
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Credentialing Coordinator
2 months ago
Chicago, United States Norwegian American Hospital Full timeThe 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...
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Credentialing Coordinator
3 weeks ago
Chicago, United States Humboldt Park Health Full timePosition 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,...
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Credentialing Coordinator
2 months ago
Chicago, United States Humboldt Park Health Full timePosition 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,...
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Credentialing Coordinator
2 weeks ago
Chicago, United States Humboldt Park Health Full timePosition 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,...
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Credentialing Coordinator
3 weeks ago
Chicago, United States Axelon Full timeUnder the direction of the Manager, the Credentialing Coordinator will have responsibility for coordinating, monitoring, and maintaining the credentialing and re- credentialing of Provider Applicants. This includes facilitating all aspects of appointment, reappointment, and privileging maintenance for managed care, medical staff, and non-physician providers....
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Chicago, United States Northwestern Medicine Full timeThe Managed Care 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 Credentialing, Coordinator, Microsoft, Healthcare, Business Services, Staff
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Managed Care Payor Credentialing Coordinator
4 days ago
Chicago, United States Northwestern Medicine Full timeThe **Managed Care 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...
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Managed Care Payor Credentialing Coordinator
5 days ago
Chicago, United States Northwestern Memorial Healthcare Full time**Company Description** At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the...
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Credentialing Coordinator
2 weeks ago
Chicago, United States Cook County Health & Hospitals System Full timeThe primary responsibility of this position is coordinating and processing health system practitioners and non-practitioners initial appointments and reappointments, in accordance with associated bylaws, rules and regulations, department policies and procedures. The position will manage the medical staff credentialing program and supports Medical Staff...
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Credentialing Specialist
4 days ago
Chicago, United States WellBe Senior Medical Full timeJob Summary: **WELLBE INTRODUCTION** The WellBe care model is a Physician Led Advanced Practice clinician driven geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to care. To address these problems, we have...
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Credentialing Analyst
2 days ago
Chicago, United States WellBe Senior Medical Full timeJob Summary: **WELLBE INTRODUCTION** The WellBe care model is a Physician Led Advanced Practice clinician driven geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to care. To address these problems, we have...
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Credentialing Specialist
2 weeks ago
Chicago, United States The Judge Group Full timeLocation: REMOTE Salary: $40.00 USD Hourly - $45.00 USD Hourly Description: Our client is currently seeking a Credentialing Specialist - Remote Role: Credentialing Specialist Job Type: Contract Location: Remote Required skills: 1. Provider Credentialing performed in a Hospital System 2. CAQH experience 3. Provider Enrollment at a Hospital System...
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Government Credentialing Specialist
4 days 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...
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Government Credentialing Specialist
5 days ago
Chicago, United States Northwestern Memorial Healthcare Full time**Company Description** At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the...
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Credentialing Technical Analyst
2 months ago
Chicago, United States Oak Street Health Full timeDescription Company: Oak Street Health Title: Credentialing Technical Analyst Location: Remote Company Description Oak Street Health believes everyone deserves great healthcare the kind you'd want for your own family. We specialize in providing exceptional care for older adults on Medicare, often in underserved communities where...
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Medical Staff Coordinator Fulltime Days
3 weeks ago
Chicago, Illinois, United States Northwestern Memorial Healthcare Full timeJob DescriptionThe Medical Staff 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 Medical Staff Coordinator supports the elected officers of the...
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Medical Staff Coordinator Fulltime Days
2 weeks ago
Chicago, Illinois, United States Northwestern Memorial Healthcare Full timeJob DescriptionThe Medical Staff 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 Medical Staff Coordinator supports the elected officers of the...
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Toddler Coordinator
6 days ago
Chicago, United States Breakthrough Full time**Job Title**: Toddler Coordinator **FLSA Code**: Exempt, Full time **Location**: Breakthrough-FamilyPlex 3219 W. Carroll Ave. Chicago, IL 60624 **WE ARE BREAKTHROUGH** Educators have identified early childhood education as one of the most critical necessities for preparing urban youth for academic success. Breakthrough Beginners, an early childhood...
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Public Health Emergency Response Coordinator
2 weeks ago
Chicago, United States Cook County Health & Hospitals System Full time**PUBLIC HEALTH EMERGENCY RESPONSE COORDINATOR** **Job Number**:00133884** **Job Posting**: Apr 9, 2024, 9:33:08 AM **Closing Date**: Apr 23, 2024, 11:59:00 PM Full-time **Shift Start Time**: 8:30 A.M. **Shift End Time**: 4:30 P.M. **Collective Bargaining Unit**: AFSCME Health and Hospital Systems **Posting Salary**: 40.114 **Organization**: Health and...
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Patient Service Coordinator
5 days ago
Chicago, United States Cook County Health & Hospitals System Full time**PATIENT SERVICE COORDINATOR - STROGER HOSPITAL** **Job Number**:00134442** **Job Posting**: Jun 11, 2024, 9:54:36 AM **Closing Date**: Jun 25, 2024, 11:59:00 PM Full-time **Shift Start Time**: 8:30 A.M. **Shift End Time**: 4:30 P.M. **Collective Bargaining Unit**: AFSCME 1111 Health and Hospital Systems **Posting Salary**: STARTING SALARY:...