Talent.com
Credentialing Specialist

Credentialing Specialist

Chicago Family Health Center IncChicago, IL, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Description : About the Role

Chicago Family Health Center (CFHC) is hiring a detail-driven Credentialing Specialist to own end-to-end credentialing, re-credentialing, privileging, and payer / provider enrollment for our medical, dental, and behavioral health providers. You’ll keep our providers current, compliant, and quickly billable—so patients get care without delays.

Credentialing, Re-Credentialing & Privileging

  • Collect, verify, and maintain complete and accurate provider credentialing files.
  • Manage and track expirable credentials (DEA / CSR, BLS / ACLS, board certifications, malpractice, OIG / SAM checks) to ensure continuous compliance.
  • Maintain and update CAQH and other payer portals, ensuring consistency across systems such as intranet, rosters, and provider directories.
  • Prepare credentialing packets, checklists, and summary reports for leadership and committee review.
  • Monitor credentialing turnaround times, SLAs, and approval workflows.
  • Process initial and reappointment privilege applications for CFHC and partner hospitals / organizations ; track approvals, expirations, and renewals.

Payer Enrollment & Provider Directories

  • Submit, track, and maintain payer enrollments, re-enrollments, and demographic updates for all applicable plans.
  • Coordinate effective enrollment and participation dates to align with provider start dates.
  • Audit payer directories and rosters to ensure providers are accurately listed and billable.
  • Research and resolve discrepancies with payer plans to maintain compliance and avoid billing delays.
  • Communicate fee schedule changes, participation status, and enrollment updates to Billing, Revenue Cycle, and Clinic Leadership teams.

    • Onboarding & Cross-Functional Support

  • Partner closely with Human Resources, Chief Medical Officer, Revenue Cycle, and Clinic Managers to ensure a seamless provider onboarding experience.
  • Provide regular status reports and credentialing KPI analytics (e.g., time-to-enroll, first-claim readiness, compliance with expirable items).
  • Identify process improvement opportunities to streamline credentialing, privileging, and payer enrollment workflows

    • Chicago Family Health Centers offers benefits to all its full-time employees :

    BCBS Medical PPO Plans| BCBS Dental |VSP Vision| Tuition Reimbursement up to $1,500 per year|12 Paid Holidays and 12 Days of Paid Time Off | 10 sick days |

    Work Environment & Schedule

  • Work Setting : This position operates in a professional office environment with routine collaboration across departments. Hybrid and / or remote work flexibility may be available based on performance and organizational needs.
  • Schedule : Full-time, typically Monday through Friday during standard business hours (e.g., 8 : 00 a.m.–5 : 00 p.m.). Occasional extended hours may be required to meet credentialing or payer deadlines. Two days remote / Three days onsite.
  • Physical Demands : While performing the duties of this job, the employee is regularly required to sit, use hands to handle or operate computers, and communicate effectively. Light lifting of files or materials (up to 20 lbs.) may occasionally be required.

    • Why CFHC?

  • Purpose with real impact. As a Federally Qualified Health Center, we partner with Chicago neighborhoods to expand access, reduce barriers, and advance health equity for thousands of patients each year. Your work directly speeds up provider onboarding and patient access to care.
  • Visibility and growth. Operate cross-functionally with HR, the CMO, Revenue Cycle, and clinic leadership; gain exposure to credentialing committee / Board processes; build a portfolio of measurable wins (time-to-credential, directory accuracy, first-claim dates).
  • Flexible, humane work. Hybrid options for eligible roles, predictable schedules, and a collaborative, values-based team that respects work-life balance.
  • Competitive total rewards. Market-competitive pay plus comprehensive benefits (medical, dental, vision), retirement plan, paid time off and holidays, and employee wellness resources.
  • Inclusive culture. We value diversity, continuous learning, and clear communication—so good ideas move quickly from proposal to practice.

    • #INSJ24

    Requirements :

    Education and Experience

  • Minimum of three (3) years of experience in provider credentialing / medical staff services and pay enrollment. (FQHC or multi-site ambulatory care preferred)
  • Bachelor's degree in Healthcare Administration, Human Resources or Business Administration or related field
  • CPCS / CPMSM or NAMSS credentials is preferred not required
  • Prior knowledge with CAQH, payer portals, credentialing standards, privileging processes and compliance best practices
  • Exceptional attention to detail, follow-through, organization, and customer service; clear written and verbal communication.
  • Exposure to managed care / payer relations, reimbursement basics, and fee schedule communication.
  • Experience building dashboards or reports for leadership and boards.
    • Create a job alert for this search

    Credentialing Specialist • Chicago, IL, US

    Related jobs
    • Promoted
    Payroll Specialist

    Payroll Specialist

    Addison GroupElmhurst, IL, US
    Temporary
    Hourly / depending on relevant experience.This position is eligible for medical, dental, vision, and 401(k).Must be located in the Chicagoland area!!. Are you looking for an opportunity to work with...Show moreLast updated: 6 days ago
    • Promoted
    Admissions Recruitment Specialist

    Admissions Recruitment Specialist

    Adler UniversityChicago, IL, US
    Full-time
    Admissions Recruitment Specialist.Reporting to the Director of Admissions - Chicago, the Recruitment Specialist plays a pivotal role in Adler University's growth and success by participating in a v...Show moreLast updated: 10 days ago
    • Promoted
    Admissions Representative

    Admissions Representative

    The Chicago School of Professional PsychologyChicago, IL, US
    Full-time
    The Admissions Representative is responsible for successfully recruiting certificate and degree-seeking students for their assigned group of programs at The Chicago School.The Admissions Representa...Show moreLast updated: 30+ days ago
    • Promoted
    Credentialing Specialist

    Credentialing Specialist

    Innovative Systems GroupChicago, IL, US
    Full-time
    Job Title : Provider Network Consultant.Location : Alb NM or Chicago IL or Oklahoma OK | Remote but training will be onsite. Duration : November 2025 to February 2027 (possible extension).This position...Show moreLast updated: 9 days ago
    • Promoted
    Credentials Coordinator

    Credentials Coordinator

    The University of Chicago Medical CenterChicago, IL, US
    Full-time
    Be a part of a world-class academic healthcare system at UChicago Medicine as a Credentialing Coordinator for our Medical Staff Office department. The Credentialing Coordinator will manage the medic...Show moreLast updated: 4 days ago
    • Promoted
    Recruiting Coordinator

    Recruiting Coordinator

    Addison GroupNaperville, IL, US
    Full-time
    Naperville, IL (Hybrid : 3 days on-site, 2 days remote).This position is eligible for medical, dental, vision, and 401(k). Addison Group has partnered with our client in the food distribution industr...Show moreLast updated: 3 days ago
    • Promoted
    • New!
    Payroll Specialist

    Payroll Specialist

    AppleOneSchaumburg, IL, US
    Full-time
    The Payroll Specialist will play a critical role in the Corporate Payroll team.In this fast paced, customer service driven environment, the Payroll Specialist will interact with a diverse workforce...Show moreLast updated: 18 hours ago
    • Promoted
    Payroll Specialist

    Payroll Specialist

    Robert HalfElmhurst, IL, US
    Full-time
    Payroll Specialist to handle payroll and reporting and ensure compliance with multi-state regulations.The ideal candidate will have a proven track record doing payroll for large organizations.This ...Show moreLast updated: 6 days ago
    • Promoted
    Intake Representative

    Intake Representative

    Midwest Orthopaedic ConsultantsOrland Park, IL, US
    Full-time
    Midwest Orthopaedic Consultants has earned a reputation for supplying timely and high quality medical services.Our patients come first, and our employees play an important role in providing service...Show moreLast updated: 30+ days ago
    • Promoted
    Local Campus Admissions Representative

    Local Campus Admissions Representative

    Universal Technical InstituteLisle, IL, US
    Full-time
    Local Campus Admissions Representative.Do you enjoy helping individuals achieve their educational and career goals? Are you someone who is competitive, charismatic, and a sales professional? Someon...Show moreLast updated: 10 days ago
    • Promoted
    Benefits Coordinator

    Benefits Coordinator

    Addison GroupElmhurst, IL, US
    Full-time
    Addison Group is working with a growing and stable client to identify an energetic and motivated Benefits Coordinator.This is an excellent opportunity for an early-career HR professional who's eage...Show moreLast updated: 6 days ago
    • Promoted
    Admissions Representative

    Admissions Representative

    Auguste Escoffier School of Culinary ArtsSchaumburg, IL, US
    Full-time
    Auguste Escoffier School of Culinary Arts is a leading accredited provider of online and campus-based culinary training and education. The school's professional programs offer the proven combina...Show moreLast updated: 30+ days ago
    • Promoted
    Federal Work Study - Registrar

    Federal Work Study - Registrar

    City Colleges of ChicagoChicago, IL, US
    Part-time
    Federal Work Study Registrar Office Assistant.City Colleges of Chicago (CCC).Illinois, is made up of seven colleges and five satellite sites, providing more than 70,000 students each year access t...Show moreLast updated: 30+ days ago
    • Promoted
    JTDC - Clerk IV - Human Resources

    JTDC - Clerk IV - Human Resources

    Circuit Court of Cook CountyChicago, IL, US
    Full-time
    Under the direction of the Director of Human Resources, the Clerk IV-Human Resources is responsible for performing a variety of human resources duties and general office support functions within th...Show moreLast updated: 10 days ago
    • Promoted
    Workers' Compensation Associate

    Workers' Compensation Associate

    Malman LawChicago, IL, US
    Full-time
    Job Type : Full‑Time, In‑Office.Salary Range : $75,000 - $110,000.We seek a motivated Workers’ Compensation Associate Attorney to join our in‑office team.The attorney will ...Show moreLast updated: 4 days ago
    • Promoted
    • New!
    HRIS File Clerk

    HRIS File Clerk

    Addison GroupChicago, IL, US
    Temporary
    Monday–Friday, 8 : 00 AM–4 : 30 PM CST – FULLY ONSITE.This position is eligible for medical, dental, vision, and 401(k).Addison Group is hiring for our client, a growing nonprofit org...Show moreLast updated: 3 hours ago
    • Promoted
    Employee Experience Coordinator

    Employee Experience Coordinator

    Cypress HCMMundelein, IL, US
    Full-time
    Workplace Experience Coordinator.We’re looking for a professional and accountable Workplace Experience Operations Coordinator to join our rapidly expanding Workplace Experience Team.We’...Show moreLast updated: 3 days ago
    • Promoted
    Benefits Specialist

    Benefits Specialist

    The LaSalle NetworkChicago, IL, US
    Full-time
    Are you passionate about helping employees navigate their benefits and making a real impact in a growing company? Our client, a well-established organization in Chicago, is seeking a Benefits Speci...Show moreLast updated: 30+ days ago
    • Promoted
    Benefits Representative

    Benefits Representative

    AMBAWaukegan, IL, US
    Full-time
    Insurance Benefits Representative.Location : Illinois | Compensation : Commission + Bonuses | Schedule : Self-Managed, Full-Time Commitment. For over 65 years, AMBA has proudly served retired public se...Show moreLast updated: 30+ days ago
    • Promoted
    Global Benefits Coordinator

    Global Benefits Coordinator

    Collins ConsultingGreat Lakes, IL, US
    Full-time
    Looking for local candidates only.The global benefits and well-being team is looking for a project coordinator to support the team with a range of benefit strategy and implementation activities, in...Show moreLast updated: 30+ days ago