Credentialing Specialist

ivyhealth; Whippany (NJ); Hybrid; USD 30,000 - 34,000; Full time

Benefits offered by this job

Full benefits from day one

Generous PTO and holidays

401k with company matching

Disability & life insurance

Pet insurance discounts

Parental leave

Job summary

Ivy Health is seeking a Credentialing Specialist in New Jersey to maintain provider data, process enrollment applications, and ensure licenses and documents are up to date. You will work with our CVO and external vendors, researching data and ensuring accuracy across databases.

The role requires at least two years in credentialing, knowledge of health plans, and excellent communication with insurers. Benefits include a full package and opportunities for growth.

Qualifications

• High school diploma or GED required.
• CPCS certification preferred but not required.
• Minimum two years of experience in provider healthcare credentialing, focusing on outpatient therapy and related fields.
• Proficiency with Microsoft Office and credentialing software; experience coordinating with a CVO and external vendors.
• Excellent oral communication and strong customer service orientation with insurance carriers.

Responsibilities

• Maintains current and accurate data for all providers.
• Completes provider/payor enrollment applications and monitors progress.
• Maintains licenses, malpractice coverage, and required documents for providers.
• Researches and analyzes credentialing data; tracks license expirations for renewals.
• Coordinates with CVO and external vendors to submit credentialing requests.
• Audits practice addresses with health plans for accuracy.
• Maintains confidentiality of provider information.
• Performs other duties as assigned.

Skills

Credentialing experience

Data analysis

Independent work

Confidentiality

Communication

Education

High school diploma or GED

CPCS certification preferred

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Microsoft Access

Credentialing software

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.

Job Description

• 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.

Qualifications

• 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:\u00a0Deliver best-in-class care and witness exceptional patient outcomes.
• Incentives Galore:\u00a0Eligibility for full benefits package beginning within your first month of employment.
• Generous PTO (Paid Time Off) plans and paid holidays.
• Empowering Values:\u00a0Live 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, vision insurance
• 401k with company matching contribution
• Disability & life insurance
• Pet insurance discounts for your fur babies
• Paid parental leave and maternity leave
• Gym and wellness discounts
• Free mental health + financial services
• Generous PTO Program & 6 paid holidays annually

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

#LI-remote #LI-ST1

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 Welcome to Ivy Health Join us on our mission to inspire & enable people to live life to the fullest!

Ivy Health is a growing team of orthopedic and pediatric outpatient physical, occupational, speech, and ABA therapy clinics with over 500 locations throughout the Northeast, Mid-Atlantic, Midwest, and Southeast.

Through a shared commitment to clinical excellence, we work as a unified team to serve each person to the best of our ability.

Combining our clinical objectives and company culture, you can see why Ivy is committed to providing endless opportunities to every teammate through professional development tracks, continuing education, leadership development, residency cohorts, mentorship programs, and many other resources.