Description

Job Title: ASC Credentialing Specialist Supervisor

Job Description

Summary

The Credentialing Specialist Supervisor secures and maintains the critical provider credentials that keep our Ambulatory Surgery Center (ASC) compliant, operational, and thriving. In this role, you will own the end-to-end credentialing and re-credentialing lifecycle for all medical staff—from initial application to full onboarding. You will serve as our internal expert on state licensing and facility privileges while leading the enrollment process for both government and commercial payors to ensure seamless care delivery and maximum reimbursement.

Responsibilities

Ensure the quality, accuracy and timeliness of the primary source verification (PSV) process for incoming physicians
Prepare, populate, and submit comprehensive initial credentialing and re-credentialing applications
Plan, manage, and execute the cyclical reappointment process for all active medical staff members
Partner with hospitals and providers to streamline document collection and facilitate the credentialing workflow
Oversee the continuous updating of credentialing files, tracking tools, and internal task lists
Execute and complete all designated credentialing tasks within the facility’s onboarding checklist
Perform monthly audits to monitor, track, and update expiring documents (e.g. licenses, DEA, board certifications)
Document all workflow steps, including provider numbers, effective dates, and official correspondence
Execute timely outreach regarding pending credentials or documentation bottlenecks to prevent onboarding delays
Serve as the primary liaison for credentialing updates between physicians, external clients and internal teams
Help maintain and distribute the active provider and physician schedules
Manage standard clerical functions, including high-volume data entry, faxing, scanning and digital filing
Assist other areas as needed
Maintain a safe, clean and organized workspace
Other duties as assigned
Maintain a clean and safe work environment
Other duties as assigned

Requirements

Requirements

Education

High school diploma or equivalent required
College degree preferred

Certifications/Licensure

CPCS certification preferred

Experience

Two years previous credentialing experience in an Ambulatory Surgery Center or hospital setting required

Technical Skills

Strong computer skills to include Google Suite and Microsoft Word and Excel
Knowledge of NCQA and TJC credentialing standards preferred

Soft Skills

Strong written and verbal communications skills
Must have strong interpersonal skills and ability to work well with individuals at all levels within practice
Strong organizational skills; detail oriented
Ability to develop and maintain paper and on-line filing systems
Must work efficiently under deadlines
Requires ability to read, write, hear, speak and understand English

Physical Requirements

Stand or sit for extended periods of time
Position is primarily sedentary and requires repetitive motion associated with computer data entry
Occasionally lifting of boxes up to 25 lbs. may be required

This description is intended to provide only basic guidelines for meeting job requirements. Duties and responsibilities, experience, qualifications, skills, supervisory relationship, physical/mental demands, and environmental/ working conditions may change as needs evolve.

Base salary offers for this position may vary based on factors such as location, skills and relevant experience. We offer the following benefits to those who are benefit eligible (30+ hours a week): medical, dental, vision, life and AD&D insurance, long and short term disability, 401k program with company match and profit sharing, wellness program, health savings accounts, flexible savings accounts, ID protection plan and accident, critical illness and hospital benefits.

In addition, we offer paid holidays and paid time off. Illinois Bone and Joint Institute, LLC is an equal opportunity employer. All employment decisions are based on qualifications, merit, and business need, without regard to race, color, religion, age, sex, national origin, disability status, military or veteran status, sexual orientation, gender identity and expression, or any other characteristic protected by federal, state or local laws. This policy applies to recruitment and placement, promotion, training, transfer, retention, rate of pay and all other terms and conditions of employment.