Credentialing Specialist

Your responsibilities will include: 

• 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. 

To excel in this role, you should possess: 

• 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.

Why choose Ivy?    

• 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. 

Compensation ranges up to an hourly rate of $25.00 based on experience.

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