Credentialing Specialist

Credentialing Specialist

Join Insight Health Systems as a Credentialing Specialist. You will be part of the Insight Chicago team, working to provide world‑class patient care and support the hospital’s enrollment and credentialing activities.

$65,000.00 - $75,000.00 per year (actual pay based on skills and experience).

• Complete and re‑enroll provider applications for Medicare, Medicaid, and commercial payers.
• Maintain provider information in PECOS, NPPES, CAQH, and payer portals.
• Monitor expiration dates for licenses, certifications, and other credentialing requirements.
• Track changes such as additions, deletions, address updates, and taxonomy updates.
• Serve as primary liaison between hospital departments, providers, and payer representatives.
• Collaborate with HR, Medical Staff Office, Billing, and Compliance teams to ensure smooth onboarding and billing readiness.
• Identify and resolve enrollment‑related issues that may delay claims processing or reimbursement.
• Audit provider records regularly to ensure data integrity and prepare routine progress reports.

• High School Diploma or GED required; associate’s or bachelor’s degree in healthcare administration or related field preferred.
• 1–3 years of experience in provider credentialing, payer enrollment, or healthcare revenue cycle required.
• Experience with hospital‑based enrollment preferred.
• Strong knowledge of Medicare/Medicaid enrollment processes and familiarity with CAQH, PECOS, NPPES, and payer portals.
• Excellent organizational and time‑management skills; strong attention to detail and data accuracy.
• Effective communication and customer service skills; proficiency in MS Office and credentialing/enrollment software.
• Ability to manage multiple priorities in a fast‑paced environment.

• 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

Full‑time

Entry level