Credentialing Specialist

Upstream Rehabilitation • Phoenix, AZ

1d • Remote

About The Position

Preferred Therapy Partners, a brand partner of Upstream Rehabilitation, is seeking a Credentialing Specialist to support initial credentialing and recredentialing of practitioners in the Preferred Therapy Providers (PTP) network. The role involves collecting and verifying practitioner information, conducting primary source verification, maintaining credentialing records, and coordinating with contracted health plans and internal and external stakeholders. The Specialist helps ensure practitioner data is accurate and current, monitors licensure and certification requirements, and supports compliance with applicable regulations, accreditation standards, and company policies.

This remote role is designated for Arizona, and candidates must reside in the United States. The position supports a provider network and contributes to PTP’s mission, vision, and values and the organization’s continued growth. Upstream Rehabilitation describes itself as the country’s largest dedicated provider of outpatient physical and occupational therapy services, with more than 1,200 locations, 26 brand partners, and 8,000+ employees.

The listed salary range is $17.31–$23.08 per hour. The company offers corporate and non-clinical opportunities remotely and in corporate offices nationwide, along with leadership development, ongoing education, and professional growth opportunities. Benefits and eligibility depend on employment status and pay class; specific details are provided during the hiring process.

Requirements

• High school diploma or equivalent experience.
• Strong attention to detail and self-motivation.
• Effective written and verbal communication skills.
• Ability to establish and maintain positive working relationships with providers, leadership, staff, and external partners.
• Proficiency in Microsoft Office applications, including Word and Excel, Adobe Acrobat, and web-based systems.
• Ability to organize and prioritize work, manage multiple responsibilities, and meet deadlines in a fast-paced environment.
• Must reside in the United States.

Nice To Haves

• Previous experience with healthcare credentialing, provider enrollment, revenue cycle operations, or other healthcare administrative functions.
• Experience supporting healthcare organizations, including physical therapy, rehabilitation, or related clinical settings.

Responsibilities

• Maintain accurate, timely practitioner data, electronic files, and credentialing records in the credentialing database.
• Access and manage practitioner information through CAQH and paper application systems for credentialing and recredentialing activities.
• Provide administrative support for credentialing operations.
• Perform primary source verifications and maintain practitioner licensing, credentialing, certification, and insurance records, ensuring documentation is accurate, current, and complete.
• Monitor license, certification, insurance, and continuing education requirements; track expiration and renewal dates; and maintain compliance with organizational, regulatory, and accreditation standards.
• Communicate with internal stakeholders and external practitioners about application status, credentialing requirements, and outstanding documentation.
• Perform credentialing and recredentialing in accordance with federal and state regulations, payer requirements, accreditation standards, and company policies and procedures.
• Monitor credentialing files and outstanding requirements, identifying and escalating delays, deficiencies, or compliance concerns as appropriate.
• Maintain the confidentiality, integrity, and security of practitioner information and credentialing records.
• Cross-train and provide support in other functional areas as needed.
• Perform other projects and duties as assigned.

Benefits

• 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.
• Ongoing education, leadership development, and professional growth opportunities.
• Supportive team and leadership invested in employee success.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED