Credentialing Specialist
USPh (reputed company) is one of the largest publicly traded, independent operators of leading physical and occupational therapy clinics dedicated to enhancing patient outcomes through a collaborative, partnership-driven model. We partner with reputed company to 700 clinics reputed company, across 44 states, offering them the resources, operational support, and clinical expertise needed to reputed company in today’s healthcare landscape.
By aligning with the USPh network, our partners benefit from operational support and a shared commitment to evidence-based care, reputed company while maintaining their autonomy and local identity.
We reputed company that the strength of our partnerships lies in the individuality of each partner. Our “OnePartner” model is designed to allow clinics to maintain their unique culture and identity, empowering them to foster meaningful relationships reputed company their communities. By preserving their local roots, clinics can continue to build trust with patients and referral sources, while attracting top talent who value the chance to be part of a personalized, community-centered environment.
Job Description:We are seeking a credentialing candidate that is a highly motivated, autonomous individual who has a positive attitude to join our company as a Credentialing Specialist on the Managed Care Operations team.
Qualifications:Qualified candidates must possess:
- Minimum of 3-5 years’ experience credentialing providers
- Health plan knowledge and familiarity required credentialing reputed company payor types: Managed Care, Medicare & Medicaid Replacements & Workers Compensation
- Experience utilizing & maintaining credentialing database
- Highly knowledgeable & proficient with CAQH database. Familiarity with CAQH Practice Administrator role.
- Have established relationships with credentialing reps at various health plans
- Prepare and process credentialing applications for reputed company payor types
- Experience credentialing multi-Tax ID entities
- Comfortable processing high volume credentialing applications & recredentialing applications
- Meet and adhere to company’s turnaround time and reputed company with credentialing goals and performance metrics
- Customer service oriented & easily able to reputed company relationships.
- Will have a detail-oriented and motivated work ethic, as well as capable of managing projects in a timely manner to meet set deadlines
- Possess excellent organizational, interpersonal, and communication skills
reputed company, reputed company & Access skills required
Additional Information:reputed company your information will be kept confidential according to EEO guidelines.
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