Credentialing Specialist

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Assist in the initial credentialing and recredentialing processes for practitioners within the Preferred Therapy Providers network.

• Gather and authenticate practitioner details.

• Execute primary source verification.

• Keep credentialing records, electronic files, and accurate practitioner data in the credentialing database.

• Access and manage practitioner information through CAQH and paper application systems.

• Offer administrative support for credentialing operations.

• Maintain records of practitioner licensing, credentialing, certification, and insurance.

• Oversee license, certification, insurance, and continuing education requirements, including expiration and renewal dates.

• Communicate with internal stakeholders and external practitioners about application status, credentialing requirements, and pending documentation.

• Execute credentialing and recredentialing in line with federal and state regulations, payer requirements, accreditation standards, and company policies.

• Monitor files and outstanding requirements, escalating any delays, deficiencies, or compliance issues.

• Uphold the confidentiality, integrity, and security of practitioner information.

• Cross-train and assist other functional areas as needed.

• Carry out additional projects and responsibilities as assigned.

⛳️ Requirements

• High school diploma or comparable experience.

• Exceptional attention to detail, self-driven, and strong written and verbal communication skills.

• Proven capability to build and maintain positive working relationships with providers, leadership, staff, and external partners.

• Proficient in Microsoft Office applications, including Word and Excel, Adobe Acrobat, and web-based systems.

• Demonstrated ability to organize and prioritize tasks, manage multiple responsibilities, and meet deadlines in a fast-paced environment.

• Must be a resident of the United States.

• Prior experience in healthcare credentialing, provider enrollment, revenue cycle operations, or other healthcare administrative roles.

• Experience assisting healthcare organizations, including physical therapy, rehabilitation, or related clinical environments.

🏝️ Benefits

• Annual paid Charity Day to contribute to a cause that is meaningful to you.

• 100% employer-paid medical health insurance premium option available.

• Dental and Vision insurance.

• 401(k) plan with company matching.

• Generous Paid Time Off (PTO) and paid holidays.

• Supportive team and leadership committed to your success.

• Competitive salary.

• Comprehensive benefits package.

• Ongoing professional development opportunities.

• Leadership development programs.

• Continuous education and professional growth opportunities.