Credentialing Specialist

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Job Title: Credentialing Specialist

Pay: Up to $60,000 annually, depending on experience

About Our Client:

Our client is a respected healthcare group supporting a network of over 60 providers, including surgeons and physician assistants, who practice at 18 hospitals. They are seeking a skilled and proactive Credentialing Specialist to join their team full time onsite in Naperville. This role plays a critical part in maintaining licensing compliance and managing credentialing operations in partnership with a third-party vendor.

Job Description:

The Credentialing Specialist will be responsible for full-cycle provider credentialing, re-credentialing, and licensing maintenance, while serving as the main liaison with their credentialing vendor. The ideal candidate will have at least 3 years of experience in private practice credentialing and be familiar with regulatory bodies and credentialing platforms.

Key Responsibilities:

• Coordinate and manage provider recredentialing, license renewals, and CME compliance.
• Monitor and maintain accurate records related to lawsuits, malpractice tracking, and controlled substance licensure.
• Oversee NPDB (National Practitioner Data Bank) verifications and related credentialing documentation.
• Collaborate with Medical Risk Services and ensure timely reporting.
• Work directly with third-party credentialing vendor (e.g., Catalyst) to delegate and follow up on tasks.
• Ensure all providers meet the requirements for valid licensure, training, and certifications.
• Maintain familiarity with ISME, PECOS, and CAQH systems.
• Proactively communicate with providers for documentation needs.
• Attend internal meetings, stay updated on industry standards, and support continuous improvement in credentialing processes.

Qualifications:

• Minimum 3 years of experience in credentialing (private practice or MD staff preferred; vendor or hospital credentialing considered).
• Experience working with third-party credentialing companies (e.g., Catalyst).
• Knowledge of credentialing-related systems: CAQH, PECOS, NPDB.
• Familiarity with ISME and NAMSS; NAMSS certification preferred.
• Strong communication skills and ability to collaborate with cross-functional teams.
• Highly organized and detail-oriented.
• Strong references required to speak to work quality and performance.
• Schedule:
  
  Monday–Friday, 9:00 AM–5:00 PM (full-time onsite)
• Type:
  Direct Hire
• Parking:
  Free lot adjacent to the building
• Background Check and Drug Screen:
  Required
• Transportation:
  Must have access to a car
• High-impact role supporting a large and active medical provider team
• Opportunity to lead credentialing processes and work cross-functionally with vendor operations
• Room for growth and professional development
• Business casual work environment
• Employer committed to quick and responsive hiring process

• Not Applicable

• Full-time

• Administrative, Health Care Provider, and Quality Assurance

• Hospitals and Health Care, Medical Practices, and Hospitals

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401(k)