Credentialing Specialist

• →Maintains current and accurate data for all providers. 

• →Completes provider/payor enrollment applications, monitors applications and follow up as needed.

• →Maintains copies of current state licenses, malpractice coverage and any other documents required for all providers. 

• →Must have knowledge of health plans and other state agency requirements for credentialing. 

• →Maintains provider information in online databases, such as NPI and CAQH. 

• →Collects information from providers and coordinates with our CVO to submit credentialing requests.

• →Ability to research and analyze data. 

• →Tracks licenses and certification expirations to ensure timely renewals. 

• →Audits and ensures practice address information with health plans are listed correctly. 

• →Ability to work independently with minimal supervision. 

• →Maintains confidentiality of provider information. 

• →Performs other duties as assigned.  

• A high school diploma or GED equivalent is required.
• Certified Provider Credentialing Specialists (CPCS) certification preferred, but not required.
• A minimum of two years of experience in all facets of provider healthcare credentialing- with a focus on Outpatient PT/OT/SP/ABA/Pediatric Rehab
• Computer skills using Microsoft Outlook, Word, Excel and Access
• Experience using credentialing software and working with a CVO and external vendors.
• Excellent oral communication skills and phone presence
• Understanding of quality customer service and relationship with insurance carriers and field operators.

• Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes.    

• Incentives Galore: Eligibility for full benefits package beginning within your first month of employment. Generous PTO (Paid Time Off) plans and paid holidays. 

• Empowering Values: Live by values that prioritize teamwork, growth, and serving others. 

Compensation Range: $22.00 - $25.00 per hour.

• This position is also eligible for a bonus.