Located throughout the Chicagoland area, Cardiothoracic & Vascular Surgical Associates (CTVSA) brings together board-certified physicians with extensive training in diseases of the heart, lung, chest, and vascular systems. Along with our skilled team of clinical and administrative staff, CTVSA offers our patients access to high quality, cutting-edge services and care. Our practice is dedicated to serving our communities.
The Credentialing & Provider Enrollment Specialist is a full-time, salaried position responsible for the coordination, management and administration of credentialing and reappointment for all Cardiothoracic & Vascular Surgical Associates (CTVSA) medical staff and allied health professionals at CTVSA contracted locations. This role will maintain and update all credentialing and re-credentialing information for all providers and share this information with CTVSA billing partners.
Position Description:
- Completing all initial payer enrollment applications for commercial and government payers including timely follow up on said applications
- Completing and maintaining all CAQH profiles for all providers
- Updating and maintaining National Provider Identification files for providers
- Obtaining and maintaining payer portal access for credentialing and billing department
- Ensuring timely re-credentialing to prevent any lapse in enrollment or hospital privileges
- Communicating with hospitals, payers, providers and other entities to quickly and accurately obtain or provide information beneficial to the credentialing or enrollment needs of the organization
Position Requirements:
- High school diploma or general education degree (GED) required, college degree preferred; minimum of 2 years of credentialing and/or payer enrollment experience or equivalent in a medical setting.
- Knowledge and thorough understanding of current health plan and agency requirements, and managed care operations including enrollment, credentialing, contracting and claims
- Knowledge of payer processes, local, state and federal requirements
- Excellent written and oral communication; organizational, problem solving and decision-making skills; strong attention to detail; research and follow up skills
- Ability to prioritize and manage multiple projects and issues effectively and simultaneously, as well as being able to work both independently and in a team setting
- Tech savvy, knowledge of Microsoft Office products, comfortable using multiple systems at once
- Certified Provider Credentialing Specialist (CPCS) certification or Provider Enrollment Specialist Certificate (PESC) a plus
Schedule:
- 8 hour shifts
- Monday to Friday
- 3 days on site, 2 days remote
Job Type: Full-time
Pay: $65,000.00 - $75,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Application Question(s):
- What are your salary expectations?
Experience:
- Credentialing Specialist : 2 years (Preferred)
Ability to Commute:
- Oakbrook Terrace, IL 60181 (Required)
Ability to Relocate:
- Oakbrook Terrace, IL 60181: Relocate before starting work (Required)
Work Location: Hybrid remote in Oakbrook Terrace, IL 60181
