Credentialing Specialist
or drop it." It doesn't forbid other headings, but we should prefer sections from list. However, "About IVX Health" is substantive content about the company; we could include it under About the role as a paragraph. That seems fine. We need to remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. At end there is EEO STATEMENT and Privacy Policy; we should drop those. Also duplicate lines: "Credential new providers and re-credential current providers with clinics at which they hold staff privileges" appears twice; we should keep only once. We need to preserve all substantive information. Let's extract content: About the role paragraph: "The Credentialing Specialist is responsible for credentialing, enrollment of practitioners reporting for all states and jurisdictions in IVX Health operates. The Credentialing Specialist prepares, tracks, and submits licensure, certification and credentialing applications to various government and commercial payor offices. The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by commercial payers, Medicare, and Medicaid." We might also include company description? Could add after that as a paragraph: "IVX Health is a national provider of infusion and injection therapy for patients managing complex chronic conditions. Through a patient-centered approach focused on comfort, convenience, clinical excellence, and exceptional service, we're redefining the care experience and improving lives every day. As a growing healthcare organization, we're committed to supporting our employees with meaningful work, professional development opportunities, and a culture built on collaboration, innovation, and purpose. Guided by Our Purpose Mission: To improve the lives of those we care for by redefining the care experience. Vision: To be the nation's preferred destination for pharmaceutical care of complex chronic conditions. Values: Be Kind. Do What's Right. Never Settle. Make It Happen. Enjoy the Ride." But that's quite long; but it's substantive. We'll include as part of About the role. Responsibilities list: bullet points: - Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications - Credential new providers and re-credential current providers with clinics at which they hold staff privileges - Responsible for facilitating the completion of all payer practitioner linking applications - Manage and maintain contracts, licenses and credentials for all current providers - Perform regular communication with payers including but not limited to receiving quarterly fee schedules, updates, and any additional relevant documentation - Develop, implement, and monitor processes and procedures to ensure the consistent delivery of quality contracting and credentialing services in an efficient and cost-effective manner - Ensure that the credentialing program is compliant with health plans, as well as State and Federal regulations including Medicare, Joint Commission, IMQ, AAAHC and other accrediting bodies - Track enrollment status with each required organization, agency, affiliate, and third-party payer - Maintain accurate provider profiles on CAQH, PECOS, and CMS databases - Maintain databases for all active provider files to include Verity and Availity - Credential new providers and re-credential current providers with clinics at which they hold staff privileges (duplicate, remove one) We need to ensure no duplicate. Required Education & Experience (Qualifications): bullet list? It's a paragraph with items: - Bachelors degree or equivalent work experience - 3-5 years experience and demonstrated success in provider and facility contracting and credentialing with commercial and government payers - Certified Provider Credentialing Specialist (CPCS) certification preferred - Demonstrated experience in working with multi-site and/or multi-state providers - Experience with Infusion, G/I, Rheum, Neuro and/or large distributed medical practices desired We can format as
- .
Skills (Essential Competencies): bullet list:
- Exceptional written and verbal communication skills, with a proven ability to interact effectively with a variety of external and internal constituents
- Strong analytical and problem-solving skills
- Ability to recognize and resolve ambiguous or conflicting objectives
- Knowledge of provider credentialing and its direct impact on the practices revenue cycle
- Proficiency with standard office software applications (Microsoft Office, Outlook, Teams, etc.)
Benefits & Perks: list:
- Medical, Dental, and Vision Coverage
- Prescription Drug Coverage and Telemedicine Services
- Health Savings Account (HSA), Health Reimbursement Arrangement (HRA), and Flexible Spending Options
- 401(k) Retirement Plan with Company Match
- Life, AD&D, and Disability Insurance
- Accident, Critical Illness, and Hospital Indemnity Coverage
- Fertility and Family Planning Support
- Tuition Reimbursement and Certification Assistance
- Continuing Education and Professional Development Resources
- Employee Assistance Program and Wellness Support
- Paid Time Off
- Volunteer Time Off and Charitable Giving Match
- Employee Referral Bonus Program
- Benefits may vary based on employment status and eligibility. (This is a note; we can include as a paragraph after list.)
Pay: The posting includes: "Pay is based on factors such as market location, job-related knowledge, skills, and experience, and is benchmarked against similar organizations in our size and industry. It is not typical for an individual to be hired at or near the top of the posted range, as compensation decisions depend on the facts and circumstances of each case. In addition to cash pay, full-time regular employees are eligible for 401(k), health benefits, and other company-provided benefits. Credentialing Specialist Pay Range: $20 USD - $26 USD"
We should include Pay section with that content. Possibly also note that it's not typical to be hired at top; we keep.
We should not include Schedule section because not present.
Now produce HTML fragment: use
for each section heading. Use
for prose paragraphs. Use
- for lists.
We need to avoid repeating job title as heading; we aren't.
We need to ensure we don't include any markdown fences.
Let's craft:
About the role
The Credentialing Specialist is responsible for credentialing, enrollment of practitioners reporting for all states and jurisdictions in IVX Health operates. The Credentialing Specialist prepares, tracks, and submits licensure, certification and credentialing applications to various government and commercial payor offices. The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by commercial payers, Medicare, and Medicaid.
IVX Health is a national provider of infusion and injection therapy for patients managing complex chronic conditions. Through a patient-centered approach focused on comfort, convenience, clinical excellence, and exceptional service, we're redefining the care experience and improving lives every day. As a growing healthcare organization, we're committed to supporting our employees with meaningful work, professional development opportunities, and a culture built on collaboration, innovation, and purpose. Guided by Our Purpose Mission: To improve the lives of those we care for by redefining the care experience. Vision: To be the nation's preferred destination for pharmaceutical care of complex chronic conditions. Values: Be Kind. Do What's Right. Never Settle. Make It Happen. Enjoy the Ride.
Responsibilities
- Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications
- Credential new providers and re-credential current providers with clinics at which they hold staff privileges
- Responsible for facilitating the completion of all payer practitioner linking applications
- Manage and maintain contracts, licenses and credentials for all current providers
- Perform regular communication with payers including but not limited to receiving quarterly fee schedules, updates, and any additional relevant documentation
- Develop, implement, and monitor processes and procedures to ensure the consistent delivery of quality contracting and credentialing services in an efficient and cost-effective manner
- Ensure that the credentialing program is compliant with health plans, as well as State and Federal regulations including Medicare, Joint Commission, IMQ, AAAHC and other accrediting bodies
- Track enrollment status with each required organization, agency, affiliate, and third-party payer
- Maintain accurate provider profiles on CAQH, PECOS, and CMS databases
- Maintain databases for all active provider files to include Verity and Availity
Qualifications
- Bachelors degree or equivalent work experience
- 3-5 years experience and demonstrated success in provider and facility contracting and credentialing with commercial and government payers
- Certified Provider Credentialing Specialist (CPCS) certification preferred
- Demonstrated experience in working with multi-site and/or multi-state providers
- Experience with Infusion, G/I, Rheum, Neuro and/or large distributed medical practices desired
Skills
- Exceptional written and verbal communication skills, with a proven ability to interact effectively with a variety of external and internal constituents
- Strong analytical and problem-solving skills
- Ability to recognize and resolve ambiguous or conflicting objectives
- Knowledge of provider credentialing and its direct impact on the practices revenue cycle
- Proficiency with standard office software applications (Microsoft Office, Outlook, Teams, etc.)
Benefits
- Medical, Dental, and Vision Coverage
- Prescription Drug Coverage and Telemedicine Services
- Health Savings Account (HSA), Health Reimbursement Arrangement (HRA), and Flexible Spending Options
- 401(k) Retirement Plan with Company Match
- Life, AD&D, and Disability Insurance
- Accident, Critical Illness, and Hospital Indemnity Coverage
- Fertility and Family Planning Support
- Tuition Reimbursement and Certification Assistance
- Continuing Education and Professional Development Resources
- Employee Assistance Program and Wellness Support
- Paid Time Off
- Volunteer Time Off and Charitable Giving Match
- Employee Referral Bonus Program
Benefits
- for lists.
We need to avoid repeating job title as heading; we aren't.
We need to ensure we don't include any markdown fences.
Let's craft: