Credentialing Specialist

🔥 12 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Upstream Rehabilitation

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

💰 Private Equity Round on 2015-12

Healthcare • Consulting • Healthcare Insurance

Upstream Rehabilitation is the country's largest dedicated provider of outpatient physical and occupational therapy services. Committed to advancing health, Upstream focuses on clinical excellence through post-doctoral educational programs, structured mentorship, and tracking of patient outcomes. The company offers extensive career opportunities in corporate and clinical roles, fostering an inclusive work environment and investing in professional development. Upstream also supports community outreach through its Pillars with Purpose benevolent funds, encouraging associates to engage in volunteer service. With over 1,200 clinics across the United States, Upstream Rehabilitation provides exceptional care and innovative rehabilitation technologies to empower patients on their healing journeys.

📋 Description

• Manage the full enrollment and re-enrollment process for medical providers within the Benchmark Rehab Partners network • Ensure providers are properly enrolled, appointed, and privileged with contracted health plans • Maintain accurate provider data in all credentialing systems • Complete and track provider enrollment and re-enrollment applications to ensure timely enrollment • Maintain current licenses and required documents for assigned providers • Partner with HR to support a smooth and welcoming onboarding experience for practitioners • Keep clinicians, field leaders, and payers informed throughout the credentialing process • Respond to provider enrollment questions and updates in a timely and professional manner • Ensure provider enrollment work meets federal, state and payer requirements • Crosstrain and support broader team needs as required • Complete other projects and duties as assigned

🎯 Requirements

• High School diploma or equivalent experience • Prior experience in Provider Enrollment Process and Revenue Cycle • Exceptional oral and written communication skills • Ability to build and maintain effective working relationships with providers, leadership, staff and external partners • Strong organizational and time management skills • Strong attention to detail and capacity to multitask effectively • Proven ability to identify and resolve problems in a timely manner • Proficiency in Microsoft Office Suite or similar software applications • Must reside in the US

🏖️ Benefits

• The chance to directly shape our organization’s growth by hiring the talent that drives our mission • Opportunities to stretch your skills—whether you’re building pipelines, designing sourcing strategies, or advising leadership • A collaborative team environment where your ideas are valued • Competitive compensation • Comprehensive benefits • Ongoing professional development • Annual paid Charity Day to give back to a cause meaningful to you • 100% employer paid medical health insurance premium option available • Dental and Vision insurance • 401(k) with company match • Generous PTO and paid holidays • Supportive team and leadership invested in your success • Leadership development programs • Ongoing education and professional growth opportunities