Credentialing Specialist en Chicago Family Health Center Inc

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.

Essential Role Functions:

Credentialing/Re-credentialing & Privileging

• Collect, verify, and maintain complete provider files; manage expirable licenses (DEA/CSR, BLS/ACLS, board certs, malpractice, OIG/SAM checks).
• Maintain CAQH and other payor portals; ensure accurate data across systems (intranet, rosters, directories).
• Prepare credentialing packets, checklists, and summaries for leadership/committee review; track turnaround times and SLAs.
• Process initial and reappointment privilege applications for CFHC and partner hospitals/organizations; monitor approvals and expirations.

Payer Enrollment & Directories

• Submit and track payer enrollments/reenrollments and updates for all applicable plans; coordinate effective dates aligned to start dates.
• Audit payer directories and rosters; resolve discrepancies with plans to ensure providers are correctly listed and billable.
• Communicate fee schedule and participation updates to billing/revenue cycle and clinic leadership.

Onboarding & Cross-Functional Support

• Partner with Human Resources, Chief Medical Officer, Revenue Cycle, and Clinic Managers to deliver seamless provider onboarding.
• Provide status reports and credentialing KPI analytics (e.g., time-to-enroll, first-claim dates, expirable compliance rates).

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 | 

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.

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.