Credentialing Specialist

Position Summary

At Ivy Rehab, we're "All About the People"! As a Credentialing Specialist, you will play a crucial role in our mission to help enable people to live their lives to the fullest. Join Ivy Rehab’s dedicated team where you’re not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient.

Job Description

• 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.
• Maintains provider information in online databases, such as NPI and CAQH.
• Collections information from providers and coordinates with our CVO to submit credentialing requests.
• Absorbs data and analyzes 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.

Requirements

• 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 ABA/PT/OT/SP/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.

Qualifications

• High school diploma or GED equivalent.
• Two years of experience in all facets of provider healthcare credentialing- with a focus on Outpatient ABA/PT/OT/SP/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.

Skills

• Knowledge of health plans and other state agency requirements for credentialing.
• Ability to research and analyze data.
• Ability to work independently with minimal supervision.
• Confidentiality of provider information.
• Perform other duties as assigned.

Benefits

• Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture.
• 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.
• Exceptional Partnerships: Collaborate with leaders like Hospital for Special Surgery (HSS) and educational partners for continuous learning.
• Empowering Values: Live by values that prioritize teamwork, growth, and serving others.

Pay

Compensation ranges up to an hourly rate of $25.00 based on experience, specialty, education, and organizational need. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.

Schedule

N/A