Credentialing Specialist

Ivy Rehab • White Plains, NY

2d • Remote

About The Position

At Ivy Rehab, we're "All About the People"! As a Credentialing Specialist, you will play a crucial role in our mission to help enable people to live their lives to the fullest. Join Ivy Rehab’s dedicated team where you’re not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient.

Requirements

• A high school diploma or GED equivalent is 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.
• Ability to research and analyze data.
• Ability to work independently with minimal supervision.
• Must have knowledge of health plans and other state agency requirements for credentialing.

Nice To Haves

• Certified Provider Credentialing Specialists (CPCS) certification preferred, but not required.

Responsibilities

• 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.
• Maintains provider information in online databases, such as NPI and CAQH.
• Collects information from providers and coordinates with our CVO to submit credentialing requests.
• Tracks licenses and certification expirations to ensure timely renewals.
• Audits and ensures practice address information with health plans are listed correctly.
• Maintains confidentiality of provider information.
• Performs other duties as assigned.

Benefits

• Eligibility for full benefits package beginning within your first month of employment.
• Generous PTO (Paid Time Off) plans and paid holidays.
• Continuing education.
• Leadership development.
• Residency cohorts.
• Mentorship programs.

What This Job Offers

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