- Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, to ensure completed credentialing for all payers.
- Identifies issues provider applications that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.
- Prepares Universal Provider roster template for completion to the payers and submits monthly to all contracted Payors via the appropriate submission process established by the Payor.
- Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing issues as they arise.
- Performs data entry into Quick Cap v7 credentialing module provider's demographic information utilizing the CAQH credentialing database, optimizing efficiency, and accuracy and ensures all credentialing fields are populated.
- Tracks all credentialing statuses with all payers for all providers utilizing the Quick Cap v7 credentialing module. Reviews and follows up via e-mail as necessary to payers to ensure credentialing is complete with the ability to explain why there is a delay.
- Submits weekly updates to all clinics and business office to ensure that everyone is aware of credentialing statuses for the providers.
- High School Diploma or Equivalent
- Minimum of 1 -3 years of related experience
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Credentialing Coordinator
Found in: Lensa US 4 C2 - 4 days ago
Humboldt Park Health Chicago, United StatesPosition 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 interpre ...
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Credentialing Coordinator
Found in: Lensa US 4 C2 - 5 days ago
Humboldt Park Health Chicago, United StatesPosition 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 interpretatio ...
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Credentialing Coordinator
Found in: Lensa US 4 C2 - 6 days ago
Athletico Physical Therapy Oak Brook, United StatesThe Credentialing Coordinator reviews applications, prepares verification letters, and contacts clinical staff and insurance carriers to ensure that all active providers have completed applications and credentialing/re-credentialing information on fi Credentialing, Coordinator, H ...
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Credentialing Coordinator
Found in: Lensa US 4 C2 - 20 hours ago
AthletiCo Oak Brook, United StatesPosition Overview: · Greater Purpose and Core Values: · Athleticos Greater Purpose is to empower people, inspire hope and transform lives. We accomplish this by providing exceptional, progressive, and cost-effective fitness, performance and rehabilitative services through perso ...
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Managed Care Credentialing Coordinator
Found in: One Red Cent US C2 - 6 days ago
Advocate Health Oak Brook, United StatesThe Managed Care Enrollment Coordinator is a strategic role within managed care credentialing designed to facilitate the enrollment of Advocate Aurora Medical Group (AAMG) employed and contracted providers through all stages of onboarding in order to enroll them with commercial p ...
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Managed Care Enrollment Coordinator, Credentialing Part-time
Found in: One Red Cent US C2 - 6 days ago
Advocate Health Oak Brook, United States Part timeThe Managed Care Enrollment Coordinator is a strategic role within managed care credentialing designed to facilitate the enrollment of Advocate Aurora Medical Group (AAMG) employed and contracted providers through all stages of onboarding in order to enroll them with commercial p ...
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Managed Care Enrollment Coordinator, Credentialing Part-time
Found in: Lensa US 4 C2 - 4 days ago
Advocate Aurora Health Oak Brook, United States Part timeThe Managed Care Enrollment Coordinator is a strategic role within managed care credentialing designed to facilitate the enrollment of Advocate Aurora Medical Group (AAMG) employed and contracted providers through all stages of onboarding in order to Credentialing, Enrollment, Co ...
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Sterile Processing Coordinator
Found in: J-Vers US C2 - 2 days ago
Ascension Chicago, United StatesDetails · Department: Surgical Services · Schedule: Full Time Mon-Fri 3p-11:30p and every other weekend · Hospital: Ascension St Mary & Elizabeth Medical Center · Location: Chicago, IL · Ascension Saint Mary - Chicago is Magnet-recognized by the American Nursing Credentialing Ce ...
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Registered Nurse RN
Found in: J-Vers US C2 - 2 days ago
Ascension East Village, IL, United StatesDetailsSign-on bonus: Up to $25,000 · Department: Telemetry · Schedule: Weekends - Every Friday, Saturday and Sunday 7:00pm - 7:30am · Hospital: Ascension Saint Mary - Chicago · Location: Chicago, IL 60622 · *An additional $8.00 per hour differential paid for this weekend positio ...
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Registered Nurse RN
Found in: J-Vers US C2 - 2 days ago
Ascension East Village, IL, United StatesDetailsSign-on bonus: Up to $25,000 · Department: Med/Surg Acute Rehab · Schedule: Weekends - Every Friday, Saturday and Sunday 7:00pm - 7:30am · Hospital: Ascension Saint Mary - Chicago · Location: Chicago, IL 60622 · *An additional $8.00 per hour differential paid for this week ...
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Registered Nurse RN
Found in: J-Vers US C2 - 2 days ago
Ascension Graceland, IL, United StatesDetailsSign-on bonus: Up to $15,000.00 · Department: Cardiac Cath Lab · Schedule: Days, + call (30 minute call back)- This position will also take call at Ascension St Francis Evanston · Hospital: Ascension St Joseph Chicago · Location: Evanston, IL & Chicago, IL · Benefits Paid ...
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Registered Nurse RN
Found in: J-Vers US C2 - 2 days ago
Ascension East Village, IL, United StatesDetailsDepartment: Labor and Delivery · Schedule: PRN, 7:00pm-7:30am · Hospital: Ascension Saint Mary's Chicago · Location: Chicago, IL 60622 · Ascension Saint Mary - Chicago is Magnet-recognized by the American Nursing Credentialing Center, we rank in the top seven percent of al ...
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Charge Nurse RN
Found in: J-Vers US C2 - 2 days ago
Ascension Graceland, IL, United StatesDetailsSign-on bonus: Up to $ · Department: NICU · Schedule: Full Time, Night Shift · Hospital: Ascension St Joseph · Location: Chicago, IL · Benefits Paid time off (PTO) · Various health insurance options & wellness plans · Retirement benefits including employer match plans ...
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Registered Nurse RN
Found in: J-Vers US C2 - 2 days ago
Ascension East Village, IL, United StatesDetailsSign-on bonus: Up to $25,000 · Department: PCU / Step Down · Schedule: Full Time, 12 hour shifts · Hospital: Ascension Saint Mary - Chicago · Location: Chicago, IL 60622 · Ascension Saint Mary - Chicago is Magnet-recognized by the American Nursing Credentialing Center, we ...
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Case Management Nurse RN
Found in: J-Vers US C2 - 2 days ago
Ascension Old Norwood, IL, United StatesDetails Department: Case Management · Schedule: Full-time Days, M-F 8a-4:30p, Rotating weekends (1 every 4-6 weeks) and holidays · Hospital: Ascension Resurrection · Location: Chicago, IL 60631 · Benefits Paid time off (PTO) · Various health insurance options & wellness plans · ...
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Registered Nurse RN
Found in: J-Vers US C2 - 3 days ago
Ascension Chicago, United StatesDetails · Sign-on bonus: Up to $25,000 · Department: Labor and Delivery · Schedule: Full Time, 7:00pm-7:30am + Some Call · Hospital: Ascension Saint Mary's Chicago · Location: Chicago, IL 60622 · Ascension Saint Mary - Chicago is Magnet-recognized by the American Nursing Credent ...
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registered nurse rn
Found in: J-Vers US C2 - 2 days ago
Ascension Health Chicago, IL , USA, United StatesDetails · * Department: Medical Surgical · * Schedule: PRN, 7:00pm - 7:30am · * Hospital: Ascension Saint Mary - Chicago · * Location: Chicago, IL 60622 · Ascension Saint Mary - Chicago is Magnet-recognized by the American Nursing Credentialing Center, we rank in the top seven pe ...
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Charge Nurse RN
Found in: J-Vers US C2 - 2 days ago
Ascension Old Norwood, IL, United StatesDetailsDepartment: Neurology Stepdown Unit · Schedule: Full Time, Evening · Hospital: Ascension Resurrection Medical Center · Location: Chicago, IL 60631 · Benefits Paid time off (PTO) · Various health insurance options & wellness plans · Retirement benefits including employer ...
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Charge Nurse RN
Found in: J-Vers US C2 - 2 days ago
Ascension Old Norwood, IL, United StatesDetailsDepartment: Critical Care (ICU) · Schedule: Full Time, Day · Hospital: Ascension Resurrection Medical Center · Location: Chicago, IL 60631 · Benefits Paid time off (PTO) · Various health insurance options & wellness plans · Retirement benefits including employer match pl ...
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Charge Nurse RN
Found in: J-Vers US C2 - 2 days ago
Ascension Chicago, United StatesDetails · Department: Diagnostic Cardiology · Schedule: Days, M-F 7am - 3pm and one Saturday/month 8a - 12p · Hospital: Ascension St Marys Chicago · Location: Chicago, IL · Benefits · Paid time off (PTO) · Various health insurance options & wellness plans · Retirement benefit ...
Credentialing Coordinator - Chicago, United States - Norwegian American Hospital
Description
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, while developing and maintaining a working knowledge of the statues and laws relating to credentialing. Responsible for the accuracy and integrity of the credentialing database system and related applications.
Essential Duties and Responsibilities:
Qualifications:
