ASC Credentialing Specialist

Full-time

Description

Job Type: Remote with requirement to travel to Corporate office of Ambulatory Surgery Centers

Location: Candidate must be based in Chicago metro area.

Summary

The Credentialing Specialist secures and maintains the critical provider credentials that keep our Ambulatory Surgery Center (ASC) compliant operational and this role you will own the end-to-end credentialing and re-credentialing lifecycle for all medical stafffrom initial application to full onboarding. You will serve as our internal expert on state licensing and facility privileges while leading the enrollment process for both government and commercial payors to ensure seamless care delivery and maximum reimbursement.

Responsibilities

• Ensure the quality accuracy and timeliness of the primary source verification (PSV) process for incoming physicians.
• Prepare populate and submit comprehensive initial credentialing and re-credentialing applications.
• Plan manage and execute the cyclical reappointment process for all active medical staff members.
• Partner with hospitals and providers to streamline document collection and facilitate the credentialing workflow.
• Oversee the continuous updating of credentialing files tracking tools and internal task lists.
• Execute and complete all designated credentialing tasks within the facilitys onboarding checklist.
• Perform monthly audits to monitor track and update expiring documents (e.g. licenses DEA board certifications).
• Document all workflow steps including provider numbers effective dates and official correspondence.
• Execute timely outreach regarding pending credentials or documentation bottlenecks to prevent onboarding delays.
• Serve as the primary liaison for credentialing updates between physicians external clients and internal teams.
• Help maintain and distribute the active provider and physician schedules
• Manage standard clerical functions including high-volume data entry faxing scanning and digital filing.
• Assist other areas as needed.
• Maintain a safe clean and organized workspace.
• Other duties as assigned

Requirements

Education

• High school diploma or equivalent required.
• College degree preferred.

Certifications/Licensure

• CPCS certification preferred.

Experience

• Two years previous credentialing experience in an Ambulatory Surgery Center or

hospital setting required.

Technical Skills

• Strong computer skills to include Google Suite and Microsoft Word and Excel.
• Knowledge of NCQA and TJC credentialing standards preferred.

Soft Skills

• Strong written and verbal communications skills.
• Must have strong interpersonal skills and ability to work well with individuals at all levels
• within practice.
• Strong organizational skills; detail oriented.
• Ability to develop and maintain paper and on-line filing systems.
• Must work efficiently under deadlines.
• Requires ability to read write hear speak and understand English.

Physical Requirements

• Stand or sit for extended periods of time.
• Position is primarily sedentary and requires repetitive motion associated with computer
• data entry.
• Occasionally lifting of boxes up to 25 lbs. may be required.

This description is intended to provide only basic guidelines for meeting job requirements. Duties and responsibilities experience qualifications skills supervisory relationship physical/mental demands and environmental/ working conditions may change as needs evolve.

Base salary offers for this position may vary based on factors such as location skills and relevant experience. We offer the following benefits to those who are benefit eligible (30 hours a week): medical dental vision life and AD&D insurance long and short term disability 401k program with company match and profit sharing wellness program health savings accounts flexible savings accounts ID protection plan and accident critical illness and hospital benefits.

In addition we offer paid holidays and paid time off. Illinois Bone and Joint Institute LLC is an equal opportunity employer. All employment decisions are based on qualifications merit and business need without regard to race color religion age sex national origin disability status military or veteran status sexual orientation gender identity and expression or any other characteristic protected by federal state or local laws. This policy applies to recruitment and placement promotion training transfer retention rate of pay and all other terms and conditions of employment.

Salary Description

$20.00 - $33.00 per hour depending on experience

Required Experience:

IC