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Claims Credentialing Specialist

Posted: June 25, 2024
Salary:US$24.00 - US$27 per hour
Job type: Contract
Discipline:Revenue Cycle
Work Location:On-site

Job description

We are seeking a Claims Credentialing Specialist to join a reputable healthcare consulting organization located in Chicago, IL!

Are you ready for your next career adventure as a Credentialing Specialist? We are currently hiring for this role immediately! We are dedicated and devoted to consistently improving the culture of our team, and focus on finding the "right people '' - Not just the right resume!

What we provide to you as a full-time teammate:

We offer a competitive benefits package that is on par with most of the leading healthcare organizations, along with a 401K plan. Apply today if you are interested in getting your name in the mix!

Daily Responsibilities:

  • Collaborate with the Managed Care and Internal Credentialing departments to evaluate provider-related claim edits and denials.
  • Liaise with various departments and personnel to facilitate required provider updates for billing purposes.
  • Monitor physician status until updates are marked as "complete."
  • Maintain active rosters received from Payers and/or Managed Care department as a primary reference.
  • Address claim edits and denials stemming from credentialing issues and generate necessary reports.
  • Relay pertinent issues to the relevant credentialing departments and management.
  • Audit credentialing work queues to ensure prompt release of charges held for pending updates in Epic and/or on the NPPES website.
  • Resubmit all relevant denied claims upon completion of updates.
  • Perform additional duties as assigned.


  • M-F 8-4:30pm or 7am-3:30pm
  • Training: 7am-3:30pm

Pay & Benefits:

  • $24 - 27/hour
  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Sick Pay
  • Vision insurance


  • 2-3 years of Patient Accounts Experience

Preferred Requirements:

  • EPIC
  • Credentialing and Provider Enrollment