DuPage County Health Department
Location
Wheaton, IL | United States
Job description
Salary: Depends on Qualifications
Location : 111 N. County Farm Road- Wheaton IL, IL
Job Type: Full Time (37.5 hours per week)
Job Number: 24-00751
Service Unit: Finance: Accounting, Billing and Client Access
Department: Billing and Reimbursement
Opening Date: 01/26/2024
Closing Date: 3/8/2024 11:59 PM Central
Description The DuPage County Health Department Assistant Director of Billing and Revenue is looking for a new team member to join her team as a Credentialing Specialist. In this role, you will be responsible for establishing and maintaining a centralized credentialing process which supports the entire agency. The ideal candidate will also have the ability to ensure compliance with established standards and accreditation requirements. This position will be located at our Central Public Health Center in Wheaton, Illinois. The hours for this position are Monday through Friday from 8:00 am until 4:30 pm.
As a full-time DuPage County employee, you will be eligible for our full comprehensive benefit
package which includes:
Paid Training
12 Paid Holidays per year
2 weeks of paid vacation
Paid sick time
5 Personal Days
Health Insurance through Blue Cross and Blue Shield
Dental
Vision
Qualifying employer under the Public Service Loan Forgiveness Program.
Tuition Reimbursement
Responsibilities - Maintains internal provider credentialing files for all applicable staff members, including creating new and maintaining old provider files.
- Processes applications and reappointment paperwork, checking for full completeness and accuracy; ensures that all personnel and services adhere to facility and staff policies, department guidelines, regulations, and government laws.
- Conducts background checks; ensures timely renewal of licenses and certifications.
- Oversees and maintains provider credentialing tracking system.
- Performs bi-annual audits of credentialing records.
- Maintains participation status with health plans; notifies payers of any provider information changes, additions, and terminations.
- Runs monthly status reports and follows up with any necessary corrective action.
- Processes medical staff applications for appointment and reappointment in a timely manner.
- Works on special projects to support the department; serves as liaison and problem solver to clinical department administrative staff and providers as related to credentialing.
- Supports Billing and Human Resources units with additional responsibilities as assigned.
- Participates in emergency response activities as assigned.
- Maintains required training, licensure and/or certification.
- Maintains confidentiality of privileged information and adheres to patient privacy laws.
- Demonstrates sensitivity and understanding of other ethnic groups and cultures.
- Adheres to department guidelines for attendance and punctuality.
- Limits failed billing due to credentialing to less than 5.0% annually.
- Achieves successful external and internal audits as defined by an average compliance rate of 80% or above).
Requirements Completion of a bachelor's degree in Business Administration or related area and two years of related credentialing experience; or an equivalent combination of training and experience.
DuPage County Health Department offers a variety of benefits to meet your needs. Please visit on our Careers Page for more information.
Benefits for Employees Employees of the DuPage County Health Department may select from a variety of benefits to meet their needs.
Full-time employees are eligible for the following benefits.
Health Department benefits are administered through the DuPage County Government Human Resources Office. Detailed descriptions and premium rates of these plans are available at
Medical Insurance Blue Cross and Blue Shield of Illinois is our current health insurance provider. Full-Time Health Department employees may select from four medical insurance options: three preferred provider organization (PPO) plans and one health maintenance organization (HMO) plan. You may speak to a doctor anytime through the Teledoc program, which provides access to U.S. board-certified doctors through the convenience of phone or video consults.
Plan participants are also eligible for a variety of added discounts on gym memberships and other health-related products and services. They also have access to the Well on Target program, which provides a convenient, secure website with personalized tools and resources such as health coaching, health assessments, and digital tools to track health information important to you.
Vision Discounts & Insurance A vision care discount program is available as part of the medical insurance plans. Comprehensive vision insurance is also available.
Prescription Plans Prescription coverage is available with all medical plans and includes the convenience of a mail-order option. Staff may also use the on-site pharmacy at the Central Public Health Center located in Wheaton.
Dental Insurance The Delta Dental PPO program allows you to visit any dentist you wish.
Flexible Spending Accounts Flexible Spending Accounts allow you to set aside money on a pre-tax basis to pay expenses such as those not covered by medical or dental insurance, or day-care costs.
Life Insurance All full-time employees are provided a $25,000 life insurance policy at no cost to the employee. Supplemental coverage is available for the employee, their spouse, and their children.
Disability Insurance Employees may elect additional accident and critical illness disability benefits.
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How much experience do you have establishing and maintaining a centralized credentialing process?
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Do you have experience establishing standards and accreditation requirements?
Required Question
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