Credentialing Specialist | Ridgeland, Mississippi

MID SOUTH REHAB - MASTER•Ridgeland, MS

1d•$23 - $28•Onsite

About The Position

Mid South Rehab Services, Inc., Ridgeland Mississippi is adding a full-time Credentialing Specialist to our Revenue Cycle TEAM at our Employee Support Center in Ridgeland. Mid South is celebrating 30 years of providing exceptional therapy services in the healthcare industry across four states: Mississippi, Tennessee, Alabama & Arkansas. Please visit our website Mid South Rehab Services, Inc. | Mississippi Therapy Provider | Physical, Occupational and Speech Therapy Services Be sure to check out our video That's Why I Choose Mid South If you have the experience outlined below and meet the qualifications listed here and want to join an exceptional TEAM, we invite YOU to APPLY TODAY!

Requirements

Minimum of five (5) years of healthcare credentialing experience; therapy or multi-state credentialing strongly preferred.
Demonstrated knowledge of Medicaid, Medicare, and commercial payer enrollment processes.
Experience managing CAQH, PECOS, and payer web portals.
In-depth understanding of healthcare credentialing, payer enrollment, and CAQH/PECOS processes.
Strong analytical and follow-up skills with ability to manage multiple provider files simultaneously.
Excellent written and verbal communication; ability to work cross-functionally with leadership and field operations.
Demonstrated accountability for deadlines, data accuracy, and compliance.
Proficiency with Microsoft Excel, credentialing software, and payer portals.
Exceptional attention to detail, organizational skills, and confidentiality.

Nice To Haves

Associate degree or higher preferred; equivalent experience considered.

Responsibilities

Completes and submits provider credentialing, recredentialing, and enrollment applications for all required payers and facilities.
Monitors application progress follows up routinely with payers and ensures timely completion and confirmation of enrollment.
Maintains detailed credentialing records and payer correspondence logs within the credentialing database or designated tracking system.
Accurately tracks and manages payer effective dates, ensuring they align with provider start dates to avoid claim delays.
Manages CAQH profiles, PECOS updates, and state licensure verification for all providers.
Maintains complete, organized credentialing files including state licenses, professional certifications, liability coverage, NPI, and any required documentation.
Ensures all credentialing processes comply with payer, state, and federal regulations (including CMS and Medicaid guidelines).
Tracks license and certification expirations and coordinates renewals to prevent lapses in coverage or active participation.
Proactively identifies and escalates credentialing risks or delays that may affect provider billing or patient scheduling.
Collaborates with HR, Revenue Cycle, and Therapy Leadership to ensure new hires are credentialed and cleared before start of service.
Communicates credentialing status updates to leadership, office managers, and billing staff regularly.
Responds promptly to internal and external requests for verification of provider status or privileges.
Generates weekly credentialing status reports for leadership review.
Recommends process improvements or automation opportunities to enhance accuracy, efficiency, and compliance.
Supports audit readiness by maintaining complete, organized documentation for all providers.