Job description
Position Summary
The Credentialing Specialist is responsible for all aspects of the credentialing, re-credentialing, licensure, and insurance enrollment of all LCHC health care practitioners.
Principal Duties and Responsibilities
- Updates and maintains Credentialing Software and other relevant database software
- In conjunction with Human Resources and Chief Medical Officer onboards new healthcare staff
- Completes Credentialing, Insurance Enrollment, and Licensure Reports for clinic’s health care professionals, including documentation for Medicaid, Medicare, CMS, and other private, state, and federal agencies
- Prepares for and coordinates credentialing audits in compliance with the Joint Commission, HRSA, FTCA and other accrediting bodies.
- Responsible for Provider competency testing and upkeep.
- Provides consistent communication to the Assistant Director and Director of Patient Accounting.
- Requires occasional reporting to Human Resources and the Board of Directors.
- Performs other job-related duties as assigned.
Required Skills or Abilities
- Ability to embrace and personify the mission of the Lawndale Christian Health Center.
- Ability to think critically and to problem solve.
- Excellent computer skills including MS Office suite
- Ability to organize and prioritize work appropriately with attention to deadlines.
- Excellent attention to detail.
- Ability to work with minimum supervision.
- Excellent oral and written communication skills.
- Ability to make administrative/procedural decisions and judgments.
- Ability to investigate and analyze information and draw conclusions.
Required Knowledge and Experience
- High School Diploma required, and some higher education experience would be a plus.
- 3+ years of administrative work in a fast paced, deadline driven environment. Previous medical provider credentialing a plus.
- Experience updating and maintaining data sets
- Experience collaborating and interacting with a diverse group of health care professionals in a fast-paced setting.
Location: 3860 W Ogden Ave, Chicago, IL 60623
Job Type: Full-time
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