Credentialing Specialist

Team Rehabilitation Physical Therapy; Michigan; On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Low-cost medical plan option, plusd d

401(k) match, profit sharing, and PTO

Monthly bonus opportunities

Ownership opportunities

Equity & Engagement commitment

Job summary

Team Rehab is seeking a Credentialing Specialist to verify provider education, licenses, and certifications, and to review and process initial and re-credentialing applications.

You will submit enrollments with Medicare, Medicaid, and commercial plans, track expirations, and maintain accurate records in CAQH ProView. A detail-oriented communicator will thrive in this role within our growing Revenue Cycle team.

Qualifications

• High school diploma or GED required; an associate or bachelor's in healthcare administration preferred.
• 1–3 years of healthcare administration, credentialing, or payer relations.
• CPCS or CPES designation is a plus.
• Strong attention to detail and confidentiality.

Responsibilities

• Verify provider education, training, work history, licenses, and board certifications.
• Review, validate and process initial and re-credentialing applications for providers and insurance payers.
• Submit and track provider enrollment applications with Medicare, Medicaid, and commercial plans.
• Monitor license and certification expirations, manage renewals, and maintain compliance.
• Maintain CAQH ProView and other internal systems.
• Serve as main contact for providers, payers and internal teams regarding credentialing.
• Collaborate with Revenue Cycle and other departments.

Skills

Attention to detail

Problem solving

Time management

Organizational skills

Communication

Confidentiality

Education

High school diploma or GED

Associate degree in Healthcare Administration

Bachelor degree in Healthcare Administration

Tools

CAQH ProView

Job description

Overview

Team Rehab is a network of therapist-owned outpatient physical therapy clinics in Michigan, Illinois, Indiana, Wisconsin and Georgia.

Team Rehab is an employee-owned network of outpatient clinics across Michigan, Illinois, Indiana, Wisconsin, and Georgia. Since our first clinic opened in 2001, we've built a reputation for excellent outcomes, exceptional patient satisfaction, and a workplace where therapists love to work.

Our mission is simple:

• Provide the best outpatient physical, and occupational therapy.
• Make therapy enjoyable for patients.
• Deliver measurable improvements in health and quality of life.

Competitive Pay & Benefits

• Low-cost medical plan option, plus dental & vision coverage
• 401(k) match, profit sharing, and generous PTO
• Competitive salary with monthly bonus opportunities
• Ownership opportunities!
• A strong Equity & Engagement commitment - every team member's voice matters.

What You'll Do

• Verification: Conduct primary source verification of provider education, training, work history, licenses, and board certifications.
• Processing: Review, validate, and process initial and re-credentialing applications for providers and insurance payers and networks in an accurate and timely manner. Ensure appropriate and timely provider and payer notifications.
• Payer Enrollment: Submit and track provider enrollment applications with Medicare, Medicaid, and commercial insurance plans and networks.
• Tracking & Compliance: Monitor license and certification expiration dates, manage renewals, and maintain strict compliance with guidelines from NCQA or HHS/CMS. Develop knowledge of insurance carriers and requirements.
• Database Management: Keep digital records and profiles accurate in internal systems and platforms like CAQH ProView.
• Communication: Serve as the main point of contact for providers, insurance payers, and internal teams regarding credentialing and payer enrollment statuses. Establish and maintain relationships with insurance providers and credential personnel.
• Other: Interact with other administrative departments, senior management and Director of Revenue Cycle. Perform other duties as assigned.

Qualifications

• Education: High school diploma or GED required. An Associate or Bachelor degree in Healthcare Administration or a related field is preferred.
• Experience: 1 to 3 years of background in healthcare administration, provider credentialing, or payer relations.
• Certifications: CPCS (Certified Provider Credentialing Specialist) or CPES (Certified Payer Enrollment Specialist) designation is a plus.
• Skills: Exceptional attention to detail, strong problem-solving and decision-making capabilities, outstanding time management and organizational skills, effective written and verbal communication, and the ability to maintain confidentiality with sensitive data.