Credentialing Specialist: Enrollments & Licensure Tracking

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

Benefits offered by this job

Medical insurance

Dental and vision insurance

401k with company matching

Job summary

Ivy Health in New Jersey is seeking a Credentialing Specialist to support provider enrollment, credentialing workflows, and data integrity across plans and state agencies. You will manage credentialing data, coordinate with the CVO, and monitor license expirations to ensure timely renewals.

The role emphasizes independent work, confidentiality, and strong communication with providers and insurers. Competitive benefits, PTO, and bonus eligibility accompany the position.

Qualifications

• High school diploma or GED required.
• CPCS certification preferred, not required.
• Two+ years in provider credentialing with outpatient rehab focus recommended.
• Experience with credentialing software, CVOs, and external vendors.
• Proficient in Microsoft Outlook, Word, Excel, Access.

Responsibilities

• Maintain current and accurate provider data in systems.
• Complete provider/payor enrollment applications and monitor follow-up.
• Maintain licenses, Malpractice, and required documents for all providers.
• Coordinate with CVO to submit credentialing requests and track expirations.
• Audit provider addresses with health plans for accuracy and integrity.

Job description

Ivy Health in New Jersey is seeking a Credentialing Specialist to support provider enrollment, credentialing workflows, and data integrity across plans and state agencies. You will manage credentialing data, coordinate with the CVO, and monitor license expirations to ensure timely renewals.

The role emphasizes independent work, confidentiality, and strong communication with providers and insurers. Competitive benefits, PTO, and bonus eligibility accompany the position.