Credentialing Specialist at USA Clinics Group

Northbrook, Illinois, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Jan, 26

Salary

30.0

Posted On

07 Oct, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, Organizational Skills, Customer Service, Attention To Detail, Provider Licensing, Database Management, Regulatory Compliance, Team Collaboration

Industry

Hospitals and Health Care

Description

Why USA Clinics Group? Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, we’ve grown into the nation’s largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Our mission is simple: deliver life-changing, minimally invasive care, close to home. We’re building a culture where innovation, compassion, and accountability thrive. While proud of our growth, we’re even more excited about what’s ahead, and the team we’re building to get there. We look forward to meeting you! Why You'll Love Working with us: 🚀 Rapid career advancement 💼 Competitive compensation package 🤝 Positive, team-oriented environment 🏥 Work with cutting-ed technology 🌟 Make a real impact on patients’ lives 📈 Join a fast-growing, mission-driven company Position Summary: USA Clinics Group is growing and seeking a motivated Credentialing Specialist to join our team! The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid, commercial payers, hospitals, and regulatory agencies. Position Details: Location: Northbrook, IL Schedule: Full-time Pay Range: $24.00-$30.00 per hour RESPONSIBILITIES Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications Maintain internal provider grid to ensure all information is accurate and logins are available Update each provider’s CAQH database file timely according to the schedule published by CMS Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance Complete re-validation requests issued by government and commercial payers Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid Complete re-credentialing applications for commercial payers Credential new providers and re-credential current providers with hospitals at which they hold staff privileges Work closely with the Billing and Authorizations Departments to identify and resolve any denials or authorization issues related to provider credentialing Maintain accurate provider profiles on ECHO, CAQH, PECOS, NPPES, and CMS databases Other duties as assigned 1 year of prior credentialing experience in a non-hospital setting, required Associates Degree, required, Bachelors Degree, preferred Knowledge of provider credentialing and its direct impact on the practice’s revenue cycle Detail oriented with above average organizational skills Excellent customer service skills; communicates clearly and effectively This is an onsite position. Remote work is not an option. Health Dental Vision 401k PTO + Sick Time

Responsibilities

The Credentialing Specialist is responsible for maintaining active status for all providers by completing credentialing packages required by various agencies. This includes managing provider files, updating databases, and resolving credentialing-related issues.