Coord-Credentialing PB Rehab

Genesis Administrative Services • UNAVAILABLE, PA

13d

About The Position

At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essential therapy for children at home and in school. With over 38 years of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most. Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you.

Requirements

• Two years plus experience in provider credentialing within the managed care, hospital, or long term care environment.
• Proficient with Microsoft Office applications and a willingness to learn advanced computer software.

Nice To Haves

• Bachelor's degree or equal work experience is preferred.
• Experience with CAQH/NCQA guidelines is preferred.

Responsibilities

• Facilitates the acquisition of applications from payers, evaluating application requirements and forwarding applications and instructions to the territory operations to coordinate completion by therapists.
• Reviews completed applications to ensure compliance with NCQA and other regulatory and license requirements; assists therapists with application completion and provides guidance where necessary.
• Maintains database of each health plan's credentialing requirements including ongoing credentialing maintenance requirements, i.e. renewal requirements.
• Maintains provider database consistent with NCQA standards.
• Handles correspondence with payer including updates, mailings of applications, and completed executed agreements.
• Prepares accurate and timely reports for internal staff.
• Interfaces with senior management, vendors, IS, and operations.
• Performs other duties as assigned.

Benefits

• Medical, Dental, and Vision plans to Full-Time team members.
• Dental and Vision to Part-Time team members.
• Generous paid time off to Full-Time and Part-Time team members.
• Free CEUs through Medbridge.
• Visa or Green Card sponsorships.
• Journey Travel Program.
• Exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more.
• PowerZone Employee Recognition Program.
• Clinicians in Action professional development program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level