Credentialing Specialist

Illinois Bone & Joint Institute

. Secure and maintain critical provider credentials for the Ambulatory Surgery Center .

Posted 9/18/2026full-timePark Ridge • Illinois • United StatesJuniorMid-Level💰 $20 - $33 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing the credentialing lifecycle for medical staff, ensuring compliance with NCQA and TJC standards, and maintaining accurate documentation and workflows. Proficient in utilizing Google Suite and Microsoft Office tools to enhance operational efficiency and communication.

Highest-signal resume keywords

Credentialing ExperienceCPCS CertificationKnowledge of NCQA StandardsStrong Written and Verbal CommunicationOrganizational Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Credentialing Lifecycle ManagementPrimary Source VerificationData EntryDocument CollectionApplication SubmissionAudit of LicensesFiling Systems DevelopmentWorkflow DocumentationRe-credentialingCyclical Reappointment Management

Soft Skills

Interpersonal SkillsDetail OrientedAbility to Work Under Deadlines

Tools & Technologies

Google SuiteMicrosoft WordMicrosoft Excel

Certifications & Qualifications

CPCS Certification

Industry Keywords

Ambulatory Surgery CenterState LicensingFacility PrivilegesGovernment PayorsCommercial PayorsNCQA StandardsTJC Standards

About the role

Key responsibilities & impact

Secure and maintain critical provider credentials for the Ambulatory Surgery Center
Manage the end-to-end credentialing and re-credentialing lifecycle for medical staff
Serve as internal expert on state licensing and facility privileges
Lead enrollment for government and commercial payors
Ensure quality, accuracy and timeliness of primary source verification
Prepare, populate and submit initial credentialing and re-credentialing applications
Plan, manage and execute cyclical reappointment for active medical staff
Partner with hospitals and providers to streamline document collection and credentialing workflow
Update credentialing files, tracking tools and internal task lists
Complete designated credentialing tasks within the onboarding checklist
Perform monthly audits of expiring licenses, DEA documentation and board certifications
Document workflow steps, provider numbers, effective dates and official correspondence
Conduct outreach regarding pending credentials or documentation bottlenecks
Liaise with physicians, external clients and internal teams regarding credentialing updates
Help maintain and distribute active provider and physician schedules
Perform clerical functions including high-volume data entry, faxing, scanning and digital filing
Assist other areas as needed
Maintain a safe, clean and organized workspace

Requirements

What you’ll need

High school diploma or equivalent required
College degree preferred
CPCS certification preferred
Two years previous credentialing experience in an Ambulatory Surgery Center or hospital setting required
Strong computer skills including Google Suite and Microsoft Word and Excel
Knowledge of NCQA and TJC credentialing standards preferred
Strong written and verbal communications skills
Strong interpersonal skills and ability to work well with individuals at all levels within practice
Strong organizational skills; detail oriented
Ability to develop and maintain paper and on-line filing systems
Must work efficiently under deadlines
Requires ability to read, write, hear, speak and understand English
Ability to stand or sit for extended periods of time
Position requires repetitive motion associated with computer data entry
Occasionally lifting of boxes up to 25 lbs. may be required

Benefits

Comp & perks

Medical insurance
Dental insurance
Vision insurance
Life and AD&D insurance
Long and short term disability
401k program with company match and profit sharing
Wellness program
Health savings accounts
Flexible savings accounts
ID protection plan
Accident, critical illness and hospital benefits
Paid holidays
Paid time off