Top 16 Credentialing specialist Jobs in Tinley Park, Il

Provider Enrollment Specialist
Nephrology Associates of Northern Illinois and Indiana —Oak Brook, IL
- $27 - $28 an hour
- Full-time
- Research
- Mid-level
- Office
Quick Apply
Credentialing & Patient Accounts Specialist
Joint Relief Institute —Orland Park, IL
- $55,000 - $65,000 a year
- Full-time
- Hybrid work
- Mid-level
- Communication skills
- Commercial
Quick Apply
Medical Licensing Specialist (Contract)
Galileo —Chicago, IL
- $25 an hour
- Full-time
- Remote
- Mid-level
- Organizational skills
- 2 years
- Continuing education credits
Quick Apply
3d
Provider Enrollment Specialist
NOCD —Chicago, IL
- $60,000 - $75,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
- Paid parental leave
- Health insurance
Quick Apply
Credentialing Specialist
One Federal Solution —Downers Grove, IL
- Customer service
- Mid-level
- Administrative experience
Quick Apply
HSPD-12: Government Badging & Credentialing Specialist
Electrosoft —Downers Grove, IL
- $30,000 - $40,000 a year
- Mid-level
- Administrative experience
- High school diploma or GED
Quick Apply
HSPD-12: Government Badging & Credentialing Specialist (Downers Grove, IL*)
Citizant Inc —Downers Grove, IL
- $44,300 - $49,400 a year
- Full-time
- Office
- Administrative experience
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
HSPD-12: Government Badging & Credentialing Specialist (Chicago, IL*)
Citizant Inc —Chicago, IL
- $19.47 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
Medical Licensing Specialist - Onsite
Neolytix —Chicago, IL
- Full-time
- Mid-level
- Office
- In-person
- Health insurance
- Dental insurance
Quick Apply
4d
Credentialing & Patient Accounts Specialist
La Rabida Children's Hospital —Chicago, IL
- $21 - $29 an hour
- Full-time
- Microsoft Excel
- Mid-level
- Administrative experience
Quick Apply
HSPD-12: Government Badging & Credentialing Specialist (Downers Grove, IL)
Citizant Inc —Downers Grove, IL
- $19.47 an hour
- Full-time
- Office
- Administrative experience
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
5d
HSPD-12: Government Badging & Credentialing Specialist
Electrosoft Services Inc —Chicago, IL
- $30,000 - $40,000 a year
- Mid-level
- Administrative experience
- High school diploma or GED

More jobs to discover

Find similar jobs that you might be interested in.

Provider Enrollment Specialist
Nephrology Associates of Northern Illinois and Indiana —Oak Brook, IL
Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or a related field. Credentialing certification (NAMSS CPCS or CPMSM)…
$27 - $28 an hour
Quick Apply
Credentialing & Patient Accounts Specialist
Joint Relief Institute —Orland Park, IL
This role ensures providers remain active with all payers while also assisting with insurance verification, patient account accuracy, administrative denials,…
$55,000 - $65,000 a year
Quick Apply

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Credentialing Specialist
Integrated Services for Behavioral Health —Columbus, OH
A valid driver's license and the ability to operate a motor vehicle is required. A bachelor’s degree in accounting, credentialing, or a related field is…
$23.85 - $28.02 an hour
Quick Apply
12d
Provider Enrollment & Credentialing Subject Matter Expert (SME)
Brittany Wyche, LLC —Columbus, OH
Review current-state and future-state process designs. Support assessment of intake, validation, credentialing, approval/certification, monitoring, and…
$75 - $110 an hour
Quick Apply
5d

I want to receive the latest job alert for credentialing specialist in tinley park, il

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

credentialing specialist jobs near tinley park, il

Credentialing Specialist jobs in Chicago, IL

Credentialing Specialist jobs in Downers Grove, IL

Licensing Specialist jobs in Chicago, IL

Credentialing Specialist jobs in Orland Park, IL

Enrollment Specialist jobs in Chicago, IL

Enrollment Specialist jobs in O'fallon, MO

Clinical Documentation Specialist jobs in Houston, TX

Benefits Specialist jobs in Columbia, SC

Credentialing Specialist jobs in Remote

Enrollment Specialist jobs in Greensboro, NC

Enrollment Specialist jobs in Tulsa, OK

Enrollment Specialist jobs in Overland Park, KS

Inventory Specialist jobs in San Diego, CA

Hr Specialist jobs in Atlanta, GA

Credentialing Specialist jobs in Orlando, FL

Early Intervention Specialist jobs in San Jose, CA

Credentialing Specialist jobs in Tulsa, OK

Credentialing Specialist jobs in Chapel Hill, NC

Credentialing Specialist jobs in Ucla, CA

Credentialing Specialist jobs in John F. Kennedy International Airport, NY

Provider Enrollment Specialist

Nephrology Associates of Northern Illinois and Indiana -
Oak Brook, IL

Quick Apply

Job Details

Full-time
$27 - $28 an hour

Qualifications

Contract management
Defect resolution root cause analysis
Medicare
Provider database maintenance for medical credentialing
Provider enrollment for medical credentialing
Research
Medicare regulations
Medicaid
Root cause analysis
Medical claim denial management

Full Job Description

Provider Enrollment Specialist with RCM focus

Department: Credentialing

Reports To: Director of Revenue Cycle

Location: In-office

We are seeking a highly motivated and detail-oriented Provider Enrollment Specialist with Revenue Cycle Management focus to join our Revenue Cycle department. This position is responsible for all aspects of provider and facility payer enrollment while serving as the operational bridge between Credentialing, Contracting, and Revenue Cycle Management (RCM).

The ideal candidate will possess a strong background in payer enrollment, provider contracting, and healthcare revenue cycle operations. This individual must understand how enrollment and credentialing directly impact claim reimbursement and have hands-on experience investigating and resolving payer denials resulting from enrollment, credentialing, contracting, and provider data issues.

This role requires an individual proactively working with Revenue Cycle teams to minimize revenue loss caused by enrollment-related issues. Success in this role requires exceptional follow-through, strong analytical skills, and the ability to independently identify root causes, resolve payer issues, and prevent future denials.

Responsibilities

Revenue Cycle and Denial Resolution

Serve as the subject matter expert for payer enrollment and credentialing-related claim denials.
Review and work enrollment-related denials received from Revenue Cycle teams to identify root causes and implement corrective actions.
Research payer denials involving provider participation, effective dates, credentialing status, taxonomy, billing group assignments, contracting discrepancies, or enrollment errors.
Partner closely with Billing, Coding, Patient Accounts, Contracting, and Revenue Cycle leadership to resolve enrollment issues impacting reimbursement.
Coordinate timely claim corrections and resubmissions after enrollment issues have been resolved.
Identify recurring denial trends and recommend process improvements to reduce future enrollment-related denials.
Assist with root cause analysis for enrollment failures impacting reimbursement and responsible for developing preventive solution

Contracting Support

Collaborate with the Contracting team to ensure provider enrollments align with executed payer agreements and contract effective dates.
Understand payer contract implementation requirements and ensure providers are enrolled under the appropriate networks and products.
Review contract participation requirements that impact provider enrollment and reimbursement.
Assist in coordinating payer implementations for newly executed contracts and acquisitions.

Minimum Qualifications

Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
Minimum 3–5 years of provider enrollment experience.
Minimum 2 years of Revenue Cycle Management (RCM), billing, accounts receivable, or payer denial resolution experience.
Working knowledge of provider contracting and payer implementation processes.
Demonstrated experience investigating and resolving credentialing, enrollment, and contracting-related claim denials.
Strong understanding of Medicare, Medicaid, and commercial payer enrollment requirements.
Experience working with provider enrollment systems, payer portals, and credentialing software.
Proficiency with CAQH ProView, PECOS, NPPES, and payer-specific enrollment systems.

Preferred Qualifications

Previous experience working in both Credentialing and Revenue Cycle Management.
Experience with payer contracting or provider network management.
Experience supporting physician practices, nephrology groups, dialysis organizations, or multi-specialty healthcare organizations.
Experience with delegated credentialing and payer roster management.
Knowledge of claim adjudication and payer reimbursement methodologies.
Credentialing certification (NAMSS CPCS or CPMSM) preferred but not required.

Skills & Competencies

Strong understanding of how provider enrollment, credentialing, contracting, and payer participation impact claims processing and reimbursement.
Ability to independently investigate enrollment-related denials and identify root causes.
Working knowledge of healthcare billing, payer claim adjudication, and denial management processes.
Strong analytical and critical thinking skills with a proactive problem-solving approach.
Exceptional organizational skills with the ability to manage multiple priorities and meet deadlines.
Excellent attention to detail and accuracy when maintaining provider and payer information.
Ability to collaborate effectively across Credentialing, Contracting, Revenue Cycle and Provider Operations.
Excellent written and verbal communication skills.
Strong initiative, accountability, and ownership of assigned work.
High level of professionalism and discretion when handling confidential information.

About NANI

NANI is the nation’s largest Nephrology practice. We have provided excellence in specialty kidney care for over 50 years. NANI’s nephrology practices are primarily operated in northern Illinois and throughout northern and central Indiana, with additional locations in New Jersey. NANI’s scope of care and services include difficult-to-control hypertension, kidney disease, kidney injury, kidney transplant, and related services, as well as groundbreaking and lifesaving clinical research and consulting services.

Mission: To transform the lives of people living with kidney disease by providing the highest quality care.

Quick Apply

Refine Your Search

credentialing specialist jobs in tinley park, il

Provider Enrollment Specialist

Credentialing & Patient Accounts Specialist

Medical Licensing Specialist (Contract)

Provider Enrollment Specialist

Credentialing Specialist

HSPD-12: Government Badging & Credentialing Specialist

HSPD-12: Government Badging & Credentialing Specialist (Downers Grove, IL*)

HSPD-12: Government Badging & Credentialing Specialist (Chicago, IL*)

Medical Licensing Specialist - Onsite

Credentialing & Patient Accounts Specialist

HSPD-12: Government Badging & Credentialing Specialist (Downers Grove, IL)

HSPD-12: Government Badging & Credentialing Specialist

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for credentialing specialist in tinley park, il

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected