Credentialing Specialist

Socket.dev; New Jersey; Hybrid; USD 30,000 - 34,000; Full time

Benefits offered by this job

Medical benefits

401k

PTO

Parental leave

Life insurance

Wellness discounts

Job summary

Ivy Health in New Jersey is seeking a Credentialing Specialist to ensure accurate provider data, manage enrollment applications, and maintain licenses. You will coordinate with a CVO and external vendors, research data, and protect confidentiality.

The role requires a high school diploma, 2+ years in provider credentialing focused on outpatient PT/OT/SP/ABA/Pediatric Rehab, and familiarity with payer systems.

Qualifications

• Two years of credentialing experience in outpatient PT/OT/SP/ABA/Pediatric Rehab
• Experience with NPI/CAQH and credentialing software
• Excellent communication skills and ability to work with insurance carriers and providers

Responsibilities

• Maintains current and accurate data for all providers.
• Completes provider/payor enrollment applications and tracks status.
• Maintains licenses, malpractice coverage and required documents for providers.
• Researches and analyzes credentialing data and tracks expirations.
• Coordinates with CVO and external vendors to submit credentialing requests.
• Maintains confidentiality of provider information.
• Performs other duties as assigned.

Education

High School Diploma or GED

CPCS certification (preferred)

Job description

State of Location:

New Jersey

Position Summary:

At Ivy Health, 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.

Your responsibilities will include:

• 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.
• Must have knowledge of health plans and other state agency requirements for credentialing.
• Maintains provider information in online databases, such as NPI and CAQH.
• Collects information from providers and coordinates with our CVO to submit credentialing requests.
• Ability to research and analyze data.
• Tracks licenses and certification expirations to ensure timely renewals.
• Audits and ensures practice address information with health plans are listed correctly.
• Ability to work independently with minimal supervision.
• Maintains confidentiality of provider information.
• Performs other duties as assigned.

To excel in this role, you should possess:

• A high school diploma or GED equivalent is required.
• Certified Provider Credentialing Specialists (CPCS) certification preferred, but not required.
• A minimum of two years of experience in all facets of provider healthcare credentialing- with a focus on Outpatient PT/OT/SP/ABA/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.

Why choose Ivy Health?

• Exceeding Expectations:Deliver best-in-class care and witness exceptional patient outcomes.
• Incentives Galore:Eligibility for full benefits package beginning within your first month of employment. Generous PTO (Paid Time Off) plans and paid holidays.
• Empowering Values:Live by values that prioritize teamwork, growth, and serving others.

Compensation Range: $22.00 - $25.00 per hour.

• This position is also eligible for a bonus.

Full Benefits in Your First 30 Days:

• Medical, dental, visioninsurance
• 401k with companymatchingcontribution
• Disability & life insurance
• Pet insurancediscountsforyour fur babies
• Paid parental leave and maternity leave
• Gym and wellness discounts
• Free mental health + financial services
• Generous PTO Program&6 paid holidays annually

The compensation range listed reflects the good faith estimate of pay this organizationreasonably expectsto offer for this position at the time of posting. Actual compensation will bedeterminedbased on relevant factors including skills, experience, qualifications, and work location. This range applies to the base salary or hourly rate only and does not include bonuses, benefits, or other forms of compensation that may be offered.

Applicants in Connecticut and Rhode Island may request the pay range for this position at any time prior to or during the application process.

We do not inquire about salary history as part of our hiring process.

We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process.Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.

ivyhealth.com