Physician Credentialing Specialist

Salud Revenue Partners • Chicago, IL

39d • Remote

About The Position

Salud Revenue Partners (Salud) is a technology-enabled service company with leadership and a high-performance culture that partners with healthcare providers nationwide to improve their revenue cycle performance. Our vision is to be a national model for the delivery of revenue cycle services. We are at the forefront of innovation, applying next generation process automation and artificial intelligence to focus on the most productive work to help healthcare organizations resolve difficult accounts receivable, find gold in zero balance accounts, achieve the highest coding accuracy, and carry out patient-centered solutions to self-pay. At Salud Revenue Partners, you can work for an organization dedicated to your employee development as well as delivering unparalleled results for our customers. We give staff objectives, exceptional training, and technology-enabled resources to accomplish goals and then set them free to get the job done. We encourage fresh ideas and a collaborative approach to delivering industry-leading solutions to clients. What do our staff say about Salud? In May 2025 we were certified a Great Place to Work (for the 3rd year in a row), below are a few of our survey results: 97% of our employees say this is a great place to work! 97% of our staff say, "When you join the company, you are made to feel welcome." 97% of our employees say, "When I look at what we accomplish, I feel a sense of pride." 99% of our employees say, "People are encouraged to balance their work life and their personal life." We are seeking an experienced Physician Credentialing Specialist to manage the end-to-end credentialing and recredentialing process for medical providers with commercial, government, and managed care payers. This role ensures timely enrollment, compliance with regulatory standards, and accurate provider data maintenance to support uninterrupted patient care and reimbursement.

Requirements

• High school diploma or equivalent required; associate’s or bachelor’s degree preferred
• 2+ years of physician credentialing and payer enrollment experience in a medical setting
• Strong knowledge of Medicare, Medicaid, and commercial payer credentialing processes
• Experience with CAQH, PECOS, and payer portals
• Familiarity with NCQA, CMS, and state regulatory standards
• Excellent organizational, time management, and follow-up skills
• High attention to detail and ability to manage multiple deadlines
• Strong written and verbal communication skills

Nice To Haves

• Certified Provider Credentialing Specialist (CPCS) or CPMSM certification
• Experience working in multi-specialty or large medical group environments

Responsibilities

• Manage initial credentialing and recredentialing of physicians and mid-level providers (NPs, PAs) with commercial payers, Medicare, Medicaid, and managed care organizations
• Complete and submit payer enrollment applications (CAQH, PECOS, state Medicaid portals, and payer-specific forms)
• Maintain and update provider information in credentialing databases and internal systems
• Monitor application status, follow up with payers, and resolve delays or discrepancies
• Ensure compliance with payer requirements, NCQA, CMS, and state regulations
• Coordinate with providers to obtain required documentation (licenses, DEA, malpractice, board certification, CVs)
• Track credentialing timelines and proactively address expirations and reappointments
• Collaborate with billing, contracting, and operations teams to ensure accurate provider enrollment
• Prepare reports on credentialing status, turnaround times, and payer outcomes

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: High school or GED