Provider Credentialing Specialist
About The Position
Join the Upstream Rehabilitation team where your work makes a real impact! As a Credentialing Specialist, you will manage the full credentialing and re-credentialing process for medical providers within the Benchmark Rehab Partners network. Ensure all providers are properly credentialed, appointed, and privileged with contracted health plans. Maintain accurate provider data in all systems and oversee timely renewals of licenses and certifications, all in support of Upstream Rehabilitation’s mission to inspire and empower the lives we touch.
Requirements
- High School diploma or equivalent experience.
- Prior experience in Medical Credentialing Process and Revenue Cycle.
- Exceptional communication skills, including oral and written.
- Ability to build and maintain effective working relationships with providers, leadership, staff and external partners.
- Strong organizational and time management skills.
- Strong attention to detail, and capacity to multitask effectively.
- Proven ability to identify and resolve problems in a timely manner.
- Proficiency in Microsoft Office Suite or similar software applications.
Responsibilities
- Maintain provider data accuracy and updated across all credentialing systems.
- Complete and track credentialing and re-credentialing applications to ensure timely enrollment.
- Maintain current licenses and required documents for assigned providers.
- Partner with HR to support a smooth and welcoming onboarding experience for practitioners.
- Keep clinicians, field leaders, and payers informed throughout the credentialing process.
- Respond to credentialing questions and updates in a timely and professional manner.
- Ensure all credentialing work meets federal, state and payer requirements.
- Crosstrain and support broader team needs as required.
- 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
- Supportive team and leadership invested in your success
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
