Provider Credentialing Coordinator

About Us: At Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests and treatments, it is about really caring for people with dignity and respect. That#s what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you.

Position Purpose: The Provider Credentialing Assistant supports the Network Development Team, Central Scheduling, Revenue Cycle, and Decentralized Departments according to the bylaws, policies, and other regulatory requirements to ensure that all providers are correctly loaded into Epic. This role also maintains and update existing data by proactively verifying all providers with the designated point of contact regularly.

Key Job Activities: Gathers, verifies, and maintains all required data to determine applicants# eligibility to be credentialed. Examines application for completeness and identify any missing data elements. Conducts follow-up on identified adverse data elements. Identifies all practice locations for each applicant. Determines when the credentialing process is complete.

Submits and maintains any relevant data into appropriate databases. Assures every employed physician is credentialed with each Health Plan.

Education

High school diploma/GED required, associate degree preferred. 2+ years of previous work-related credentialing experience 2+ years in Revenue Cycle management/billing Knowledge and Skills: 1+ years# experience in EPIC and MEDITECH software systems required.