Job 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.
Credentialing, Re-Credentialing & Privileging - Collect, verify, and maintain complete and accurate provider credentialing files.
- Manage and track expirable credentials (DEA/CSR, BLS/ACLS, board certifications, malpractice, OIG/SAM checks) to ensure continuous compliance.
- Maintain and update CAQH and other payer portals, ensuring consistency across systems such as intranet, rosters, and provider directories.
- Prepare credentialing packets, checklists, and summary reports for leadership and committee review.
- Monitor credentialing turnaround times, SLAs, and approval workflows.
- Process initial and reappointment privilege applications for CFHC and partner hospitals/organizations; track approvals, expirations, and renewals.
Payer Enrollment & Provider Directories - Submit, track, and maintain payer enrollments, re-enrollments, and demographic updates for all applicable plans.
- Coordinate effective enrollment and participation dates to align with provider start dates.
- Audit payer directories and rosters to ensure providers are accurately listed and billable.
- Research and resolve discrepancies with payer plans to maintain compliance and avoid billing delays.
- Communicate fee schedule changes, participation status, and enrollment updates to Billing, Revenue Cycle, and Clinic Leadership teams.
Onboarding & Cross-Functional Support - Partner closely with Human Resources, Chief Medical Officer, Revenue Cycle, and Clinic Managers to ensure a seamless provider onboarding experience.
- Provide regular status reports and credentialing KPI analytics (e.g., time-to-enroll, first-claim readiness, compliance with expirable items).
- Identify process improvement opportunities to streamline credentialing, privileging, and payer enrollment workflows
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 |
Work Environment & Schedule - Work Setting: This position operates in a professional office environment with routine collaboration across departments. Hybrid and/or remote work flexibility may be available based on performance and organizational needs.
- Schedule: Full-time, typically Monday through Friday during standard business hours (e.g., 8:00 a.m.-5:00 p.m.). Occasional extended hours may be required to meet credentialing or payer deadlines. Two days remote/Three days onsite.
- Physical Demands: While performing the duties of this job, the employee is regularly required to sit, use hands to handle or operate computers, and communicate effectively. Light lifting of files or materials (up to 20 lbs.) may occasionally be required.
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.
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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.
Salary Description
$60,000 - 75,000 annually
Job Tags
Full time, Remote work, Work at office, Flexible hours, Monday to Friday,