Centro Castillo is an established mental health group practice looking to hire a credentialing specialist. Credentialing work is 50% of the job while the other 50% is encompassed with varied administrative duties. We’re looking for an energetic professional who can multi-task and thrive in a dynamic environment.
Primary Job responsibilities include, but are not limited to:
Process therapist’s accreditation, managed care, governmental & commercial insurance credentialing and re-credentialing.
Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed
Maintains knowledge of current health plan and agency requirements for credentialing providers.
Audits health plan directories for current and accurate provider information.
Updates therapist’s information in hospital information systems, respond to verification requests, and perform file audit.
Credentialing of clinical staff with health insurance plans
Verifying insurance benefits.
Assists with marketing and public relations
2+ years’ experience in an administrative role at a healthcare practice (medical, dental, psychology)
Knowledge of commercial healthcare insurance or government contracts
Proficiency with Microsoft Word, Excel and Outlook
A minimum of 2 years Credentialing experience in a medical office
Experience getting providers paneled with insurance companies
Proficiency in Microsoft Office suite and Quicken/QuickBooks
Strong written and oral communication skills
Proficiency in Spanish preferred
Strong organization and leadership skills
Internal Number: 1
About Centro Castillo for Personal and Family Wellbeing
Centro Castillo is private Mental Health group practice with have over 138 years combined experience helping individuals and their family. Our areas of clinical specialty are: depression, anxiety, Stress Management, couple’s therapy, and EAP. Most of our 12 therapists are are bilingual and bicultural Spanish speakers allowing for sessions to be held in English or Spanish. We have 3 locations throughout the city that cover the Northside, Westside and Near Southside of Chicago. Looking for long term team member to join our group.