Innovative Systems Group · 6 hours ago
Credentialing Coordinator
Chicago, IL
Contract
Hybrid
Entry Level
$21/hr - $21/hr
1+ years expInnovative Systems Group is seeking a Provider Network Consultant responsible for analyzing and applying business rules to manage provider information for claims processing and network contracting. The role involves supporting special projects and managing workflow while maintaining provider data across various business lines.
ConsultingInformation Technology
Responsibilities
Analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes
Contracting, credentialing and maintaining Facility / Professional provider data to support marketing, network contracting across all lines of business
Supporting the implementation of special projects
Assisting with tracking of various phases of a project
Managing workflow
Qualification
Required
HS Diploma/GED (education verification required) plus 1 year of experience with Provider Network contracting and credentialing systems OR 5 years of experience in the Health Care industry
Written and verbal communication skills including interpersonal skills
Skills to develop training materials and act as an advisor to staff
Experience and proficiency in Microsoft Office software products including analytical tools. Experience developing reports
Preferred
Bachelor Degree - Subject Matter Expert for the Professional Provider Credentialing Process
2 years of experience with current government sponsored health insurance networks
Knowledge of health care delivery systems, claim costing analytics, and provider network adequacy analytics
Company
Innovative Systems Group
Innovative Systems Group is an information technology company that provides IT management and consulting services.
201-500 employees
Funding
Current Stage
Growth StageRecent News
Company data provided by crunchbase