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Credentialing Specialist
Posted on 8/8/2022
Chicago, IL, USA
Experience Level
Desired Skills
  • Must have a high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, tact and diplomacy
  • Must be able to interact and communicate with individuals at all levels of the organization
  • Must have knowledge of a variety of computer software applications in word processing, spreadsheets, database and presentation software (MSWord, Excel, Access,)
  • Continual attention to detail in composing, typing and proofing materials, establishing priorities and meeting deadlines
  • Must be able to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands
  • High school diploma or GED supplemented with course work in typing, business machine and personal computer operations
  • 2 year or more years of credentialing experience, secretarial/administrative experience or training; or equivalent combination of education and experience
  • Must maintain good working knowledge of credentialing & state licensure requirements
  • Maintains professional and technical reviewing professional publications and establishing personal networks
  • Maintain and update insurance credentialing and CAQH System
  • Maintain credentialing matrix for all providers and markets
  • Provide credentialing services for new physicians or new healthcare providers that join the Practice along with new insurance contracts
  • Obtain necessary licensure and privileges from physicians
  • Set up the NPI number required for all physicians
  • Maintains Credentialing rosters for the physicians within the practice. Performs external research and conducts verification of all applicant licensure, malpractice, education and training
  • Credentialing/Re-credentialing with insurance companies and hospitals
  • Check insurance websites for accurate listings
  • Performs complex and confidential administrative functions including developing and typing written correspondence. Responds to routine external correspondence. Types memos, and other department forms and documents
  • Handle confidential and non-routine information and maintain patient confidence and protect operations by keeping all patient, Company, and Practice information confidential
  • Work independently and within a team on special and nonrecurring and ongoing projects at the request of the Director of RCM, which may include: updating Excel spreadsheets or other systems, and disseminating information
  • Reliability- it is an essential function of this position to report to work on time for your scheduled hours, ready for work
  • Perform other related duties as required

501-1,000 employees

Company Overview
Kindbody operates a health and tech company intended to offer fertility services and treatments for the modern woman.
  • Paid vacation
  • Sick time
  • PTO to vote
  • Medical, dental, vision insurance (FSA & HSA options)
  • Company-paid life insurance
  • Short Term & Long Term Disability Options
  • Paid Parental Leave
  • 401(k) plans
  • Free Peloton membership
  • Monthyl guided meditation