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

Cardiothoracic & Vascular Surgical Associates, S.C. jobs

Credentialing & Provider Enrollment Specialist