Vitaehs
Department:
Revenue Cycle Reports To:
Director of Revenue Cycle Location:
303 E Wacker Dr. Suite 110, Chicago 60107 FLSA Status:
Non-exempt About Vitae Health Systems: Founded in 2018, Vitae Health Systems is one of the largest providers of behavioral health, internal medicine, and podiatry services to residents of Skilled Nursing and Assisted Living Facilities. Headquartered in Chicago, IL, we currently operate in over 10 states and are rapidly expanding throughout the USA. Job Summary: The Healthcare Credentialing Analyst is responsible for the oversight of a third party company that is handling credentialing, re-credentialing, and payer enrollment of healthcare providers. This role ensures compliance with regulatory standards, payor requirements, and internal policies to support billing readiness and provider onboarding. Key Responsibilities: ·
Collaborate closely with outsourced revenue cycle management (RCM) vendor to ensure credentialing timelines align with billing readiness. ·
Serve as the primary point of contact between internal teams and external billing partners regarding provider enrollment status, payer updates, and denial resolutions tied to credentialing. ·
Address clinical and operational issues related to credentialing and enrollment, ensuring proper troubleshooting and timely escalation to appropriate stakeholders as needed. ·
Ensure outsourced vendors are operating with up-to-date provider rosters, NPI assignments, and payer statuses. Track and report credentialing/enrollment status to internal stakeholders and leadership. Ensure credentialing activities support and align with broader revenue cycle performance metrics, including but not limited to charge lag days, unbilled visits, eligibility verification rates, and payer enrollment turnaround times. Assist with other revenue cycle tasks and related projects as needed to support team and organizational needs. Qualifications: Required: Associate or bachelor’s degree in healthcare administration, business, or related field. 1–3 years of experience in provider credentialing or payer enrollment including Medicare and Medicaid. Working knowledge of CAQH, NPPES, PECOS, and commercial payer portals. Strong Excel skills and experience using credentialing software and/or EMRs. Exceptional attention to detail, follow-through, and organizational skills. behavioral health, SNF, or multi-specialty provider credentialing is a bonus. Key Competencies: Strong written and verbal communication Ability to manage multiple applications in various stages Collaborative and proactive problem-solver Comfortable working in fast-paced, compliance-sensitive environments Work Environment: Office-based
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Revenue Cycle Reports To:
Director of Revenue Cycle Location:
303 E Wacker Dr. Suite 110, Chicago 60107 FLSA Status:
Non-exempt About Vitae Health Systems: Founded in 2018, Vitae Health Systems is one of the largest providers of behavioral health, internal medicine, and podiatry services to residents of Skilled Nursing and Assisted Living Facilities. Headquartered in Chicago, IL, we currently operate in over 10 states and are rapidly expanding throughout the USA. Job Summary: The Healthcare Credentialing Analyst is responsible for the oversight of a third party company that is handling credentialing, re-credentialing, and payer enrollment of healthcare providers. This role ensures compliance with regulatory standards, payor requirements, and internal policies to support billing readiness and provider onboarding. Key Responsibilities: ·
Collaborate closely with outsourced revenue cycle management (RCM) vendor to ensure credentialing timelines align with billing readiness. ·
Serve as the primary point of contact between internal teams and external billing partners regarding provider enrollment status, payer updates, and denial resolutions tied to credentialing. ·
Address clinical and operational issues related to credentialing and enrollment, ensuring proper troubleshooting and timely escalation to appropriate stakeholders as needed. ·
Ensure outsourced vendors are operating with up-to-date provider rosters, NPI assignments, and payer statuses. Track and report credentialing/enrollment status to internal stakeholders and leadership. Ensure credentialing activities support and align with broader revenue cycle performance metrics, including but not limited to charge lag days, unbilled visits, eligibility verification rates, and payer enrollment turnaround times. Assist with other revenue cycle tasks and related projects as needed to support team and organizational needs. Qualifications: Required: Associate or bachelor’s degree in healthcare administration, business, or related field. 1–3 years of experience in provider credentialing or payer enrollment including Medicare and Medicaid. Working knowledge of CAQH, NPPES, PECOS, and commercial payer portals. Strong Excel skills and experience using credentialing software and/or EMRs. Exceptional attention to detail, follow-through, and organizational skills. behavioral health, SNF, or multi-specialty provider credentialing is a bonus. Key Competencies: Strong written and verbal communication Ability to manage multiple applications in various stages Collaborative and proactive problem-solver Comfortable working in fast-paced, compliance-sensitive environments Work Environment: Office-based
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