Credentialing Specialist

Job not on LinkedIn

🔥 13 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $22 - $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 1%

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Ivy Rehab Network

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

🧘 Wellness

Healthcare • Wellness

Ivy Rehab Network is a rapidly growing network of outpatient physical, occupational, speech, and ABA (Applied Behavior Analysis) therapy clinics across the United States. Founded in 2003, Ivy Rehab's mission is to inspire and enable people to live life to the fullest, providing exceptional care and personalized treatment. With over 580 clinics and more than 5,000 team members, Ivy Rehab is committed to delivering unparalleled patient outcomes and embraces a culture of community and empowerment.

📋 Description

• Maintain current and accurate data for all providers. • Complete provider/payor enrollment applications, monitor applications and follow up as needed. • Maintain copies of current state licenses, malpractice coverage and other required provider documents. • Maintain provider information in online databases such as NPI and CAQH. • Collect information from providers and coordinate with the CVO to submit credentialing requests. • Track license and certification expirations to ensure timely renewals. • Audit and ensure practice address information with health plans is listed correctly. • Maintain confidentiality of provider information. • Perform 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 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. • Knowledge of health plans and other state agency requirements for credentialing. • Ability to research and analyze data. • Ability to work independently with minimal supervision. • Ability to maintain confidentiality of provider information.

🏖️ Benefits

• Eligibility for full benefits package beginning within your first month of employment • Generous PTO (Paid Time Off) plans • Paid holidays • Medical, dental, vision insurance • 401k with company matching contribution • Disability & life insurance • Pet insurance discounts • Paid parental leave and maternity leave • Gym and wellness discounts • Free mental health + financial services • Generous PTO Program • 6 paid holidays annually • Bonus eligibility