Credentialing Specialist
Insight Hospital and Medical Center3 months ago
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HybridFull-timeEntry
Summary
Insight Hospital and Medical Center is seeking a Credentialing Specialist to join their team in Chicago, IL. The role involves completing, tracking, and maintaining all payer enrollment and credentialing activities for hospital-employed providers and services.
About the Role
As a Credentialing Specialist, you will be responsible for ensuring timely enrollment with commercial insurance plans, government payers, and managed care organizations. You will act as the primary liaison between the hospital, payers, and providers throughout the enrollment lifecycle, while maintaining compliance with federal and state regulations. Your daily tasks will include clerical duties, managing provider information, tracking submission statuses, and resolving enrollment-related issues.
About You
Required:
- High School Diploma or GED required.
- 1–3 years of experience in provider credentialing, payer enrollment, or healthcare revenue cycle required.
- Strong knowledge of Medicare/Medicaid enrollment processes.
Preferred:
- Associate’s or bachelor’s degree in healthcare administration or related field preferred.
- Experience with hospital-based enrollment is preferred.
- Familiarity with CAQH, PECOS, NPPES, and payer portals.
Benefits
- Paid Sick Time - effective 90 days after employment
- Paid Vacation Time - effective 90 days after employment
- Health, vision & dental benefits - eligible at 30 days, following the 1st of the following month
- Short and long-term disability and basic life insurance - after 30 days of employment
Insight Hospital and Medical Center
Insight Hospital and Medical Center Chicago is a 414-bed general medical and surgical teaching hospital in Chicago, Illinois. Established in 1852, the hospital was the first chartered hospital in Chicago.
Chicago, IL