Insight Health Systems
Credentialing Specialist
Join Insight Health Systems as a Credentialing Specialist. You will be part of the Insight Chicago team, working to provide world‑class patient care and support the hospital’s enrollment and credentialing activities.
Pay Range $65,000.00 - $75,000.00 per year (actual pay based on skills and experience).
Responsibilities
Complete and re‑enroll provider applications for Medicare, Medicaid, and commercial payers.
Maintain provider information in PECOS, NPPES, CAQH, and payer portals.
Monitor expiration dates for licenses, certifications, and other credentialing requirements.
Track changes such as additions, deletions, address updates, and taxonomy updates.
Serve as primary liaison between hospital departments, providers, and payer representatives.
Collaborate with HR, Medical Staff Office, Billing, and Compliance teams to ensure smooth onboarding and billing readiness.
Identify and resolve enrollment‑related issues that may delay claims processing or reimbursement.
Audit provider records regularly to ensure data integrity and prepare routine progress reports.
Qualifications
High School Diploma or GED required; associate’s or bachelor’s degree in healthcare administration or related field preferred.
1–3 years of experience in provider credentialing, payer enrollment, or healthcare revenue cycle required.
Experience with hospital‑based enrollment preferred.
Strong knowledge of Medicare/Medicaid enrollment processes and familiarity with CAQH, PECOS, NPPES, and payer portals.
Excellent organizational and time‑management skills; strong attention to detail and data accuracy.
Effective communication and customer service skills; proficiency in MS Office and credentialing/enrollment software.
Ability to manage multiple priorities in a fast‑paced environment.
Benefits
Paid Sick Time – effective 90 days after employment
Paid Vacation Time – effective 90 days after employment
Health, vision & dental benefits – eligible at 30 days, following the 1st of the following month
Short and long‑term disability and basic life insurance – after 30 days of employment
Employment Type Full‑time
Seniority Level Entry level
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Pay Range $65,000.00 - $75,000.00 per year (actual pay based on skills and experience).
Responsibilities
Complete and re‑enroll provider applications for Medicare, Medicaid, and commercial payers.
Maintain provider information in PECOS, NPPES, CAQH, and payer portals.
Monitor expiration dates for licenses, certifications, and other credentialing requirements.
Track changes such as additions, deletions, address updates, and taxonomy updates.
Serve as primary liaison between hospital departments, providers, and payer representatives.
Collaborate with HR, Medical Staff Office, Billing, and Compliance teams to ensure smooth onboarding and billing readiness.
Identify and resolve enrollment‑related issues that may delay claims processing or reimbursement.
Audit provider records regularly to ensure data integrity and prepare routine progress reports.
Qualifications
High School Diploma or GED required; associate’s or bachelor’s degree in healthcare administration or related field preferred.
1–3 years of experience in provider credentialing, payer enrollment, or healthcare revenue cycle required.
Experience with hospital‑based enrollment preferred.
Strong knowledge of Medicare/Medicaid enrollment processes and familiarity with CAQH, PECOS, NPPES, and payer portals.
Excellent organizational and time‑management skills; strong attention to detail and data accuracy.
Effective communication and customer service skills; proficiency in MS Office and credentialing/enrollment software.
Ability to manage multiple priorities in a fast‑paced environment.
Benefits
Paid Sick Time – effective 90 days after employment
Paid Vacation Time – effective 90 days after employment
Health, vision & dental benefits – eligible at 30 days, following the 1st of the following month
Short and long‑term disability and basic life insurance – after 30 days of employment
Employment Type Full‑time
Seniority Level Entry level
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