Credentialing Specialist

USA Clinics Group Credentialing Specialist

Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, USA Clinics Group has 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!

Rapid career advancement Competitive compensation package Positive, team-oriented environment Work with cutting-edge technology Make a real impact on patients' lives Join a fast-growing, mission-driven company

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.

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