Credentialing Specialist - Fast-Track Provider Enrollments

Ivy Health Inc; Philadelphia (Philadelphia County); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Full benefits package

Generous PTO

Paid holidays

Job summary

Ivy Health Inc is seeking a Credentialing Specialist to support credentialing activities for providers, ensuring up-to-date data and regulatory compliance. You will handle enrollment applications, monitor progress, and maintain licensing and credentialing documentation for multiple providers.

The role requires coordination with a CVO, knowledge of health plans, and strong communication skills. Experience in outpatient PT/OT/SP/ABA/Pediatric Rehab is a plus; CPCS certification is preferred but

Qualifications

• High school diploma or GED required.
• Two years of credentialing experience preferred, especially in outpatient rehab.
• CPCS certification preferred but not required.
• Proficient with Microsoft Outlook, Word, Excel and Access.
• Experience with credentialing software and with a CVO/external vendors.
• Excellent oral communication and strong customer service orientation.

Responsibilities

• Maintains current and accurate data for all providers.
• Completes provider/payor enrollment applications and monitors status.
• Maintains copies of state licenses, malpractice coverage and required documents.
• Knowledge of health plans and state credentialing requirements.
• Maintains provider information in NPI/CAQH databases.
• Coordinates with CVO to submit credentialing requests.
• Researches and analyzes data; tracks license/certification expirations.
• Audits practice address information against health plans.
• Works independently with minimal supervision.
• Maintains confidentiality of provider information.

Skills

Credentialing experience

Outpatient rehab knowledge

Microsoft Office

Credentialing software

Communication skills

CVO/vendor coordination

Education

High school diploma or GED

CPCS certification (preferred)

Tools

Outlook

Word

Excel

Access

Job description

Ivy Health Inc is seeking a Credentialing Specialist to support credentialing activities for providers, ensuring up-to-date data and regulatory compliance. You will handle enrollment applications, monitor progress, and maintain licensing and credentialing documentation for multiple providers.

The role requires coordination with a CVO, knowledge of health plans, and strong communication skills. Experience in outpatient PT/OT/SP/ABA/Pediatric Rehab is a plus; CPCS certification is preferred but