Credentialing Specialist
Listed on 2026-01-17
-
Administrative/Clerical
Healthcare Administration -
Healthcare
Healthcare Administration, Healthcare Compliance
About the Company
Midwest Express Clinic is committed to delivering high-quality, patient-centered care acrossallour Illinois and Indianalocations. Our compliance and credentialing team plays a critical role in supporting safe, consistent, and fully compliant clinical operations.
Job SummaryThe Credentialing & Compliance Assist antis responsible for supporting all activities related to provider credentialing, regulatory compliance, mail management, and internal processmonitoringfor Midwest Express Clinic. This role ensures that all credentialing files, licenses, certifications, compliance documentation, and incoming mail are complete,accurate, properly sorted, and routed. The assistant works collaboratively with the compliance team, clinic leadership, and external partners tomaintainhigh standards of quality, accuracy, and regulatory adherence across Illinois and Indiana.
ResponsibilitiesCredentialing Support:
- Assistwithinitialand re-credentialing processes for providers, including gathering required documents, verifying licenses, certifications, and training records.
- Maintain complete and organized digital credentialing files for all providers.
- Trackexpirationdates for licenses, DEA certificates, CPR/BLS cards, insurance enrollments, and other required documents.
- Prepare application packets for payor enrollment, hospital affiliations, and regulatory agencies.
- Communicate with providersregardingmissing or expiring documents and follow up until requirements are met.
- Support the Credentialing Manager with CAQH management, NPI updates, and provider directory accuracy.
- Assist with tracking regulatory requirements such as OSHA, HIPAA, CLIA, IDPH, and internal compliance policies.
- Maintain records of compliance audits, incident tracking,requiredtrainings, and corrective action documentation.
- Support the rollout and documentation of compliance initiatives, policies, and training programs.
- Help conduct internal compliance checks, including clinic audits, infection control observations, and process monitoring.
- Assist with preparing reports, summaries, and dashboards for leadership review.
- Drive to four primary credentialing mail locations (Munster, Hammond, Schererville, and Willowbrook) to pick up mail.
- Supplement courier operations as needed fortimelyretrieval of important correspondence.
- Collect, transport, sort, and distribute mail to the correct departments (billing, payroll, credentialing, legal, compliance, etc.).
- Maintainaccuratelogs of mail retrievals, deliveries, and any urgent or time-sensitive correspondence.
- Identify and escalation critical documents such as legal notices, payor correspondence, compliance notifications, or government letters.
- Ensuretimelyand secure handling of all mail and documents while adhering to confidentiality standards.
- Maintain spreadsheets, databases, and compliance dashboards with high attention to detail.
- Support document management efforts, including uploading, organizing, labeling, and updating digital files.
- Communicate professionally with providers, clinic staff, vendors, and external agencies.
- Assist with scheduling, reminders, and coordination of credentialing or compliance deadlines.
- Perform other administrative and clerical duties as assigned to support department goals.
- High school diploma or equivalent (associate degree or higher preferred).
- 1–2 years of administrative, credentialing, compliance, or healthcare office experience.
- Valid driver’s license and ability to travel regularly between designated mail pickup sites.
- Strong organizational skills and attention to detail.
- Proficiency with Microsoft Office (Excel, Word, Outlook) and comfort working in digital document systems.
- Ability tomaintainconfidentiality and handle sensitive information securely.
- Strong verbal and written communication skills.
- Ability to work independently and meet deadlines with minimal supervision.
Reports To: Credentialing Manager
FLSA Status: Full-Time, Non-Exempt
Schedule: Monday–Friday, 40 hours per week
Location: Midwest Express Clinic Corporate Office, Chicago Illinois
BenefitsMidwest Express Clinic is proud to offer our employees a competitive selection of employer sponsored medical, dental, vision, and short term disability plans that meet the diverse needs of our employees and their families. Employees can also opt into a wide range of voluntary benefit plans including, but not limited to pre-tax spending accounts (FSA, HSA, Dependent Care, and Commuter), life insurance, critical illness, and even pet insurance.
We offer a company-sponsored 401K plan, with employer match, to help them plan for a financially secure future. We also believe in the importance of work-life balance, with all full-time employees eligible for Wellness or Paid Time Off benefits.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).