Provider Enrollment Specialist

US Physical Therapy; Oregon; Hybrid; USD 58,000 - 63,000; Full time

Benefits offered by this job

Comprehensive benefits

Generous PTO

Mentorship program

Team-oriented environment

Job summary

USPh (U.S. Physical Therapy) is seeking a Provider Enrollment Specialist on the Managed Care Operations team to ensure accurate data entry for enrollment and billing across accounts. You will research complex problems and implement preventive solutions to maintain service quality.

This remote role emphasizes fast-paced productivity, strong communication, and relationship-building with payor credentialing reps. The ideal candidate has CAQH expertise and 3–5 years of credentialing experience.

Qualifications

• 3–5 years' experience submitting payor credentialing applications for providers.
• Health plan knowledge and familiarity with credentialing all payor types: Managed Care, Medicare & Medicaid, Replacements & Workers Compensation.
• Experience utilizing and maintaining credentialing databases.
• Highly knowledgeable with CAQH; familiarity with CAQH Practice Administrator.
• Establishing relationships with credentialing reps at various health plans.
• Prepare and process credentialing applications for all payor types.
• Credentialing multi-Tax ID entities; high-volume processing.
• Meet turnaround time goals and maintain performance metrics.
• Customer service oriented and able to build relationships.
• Detail-oriented and capable of managing projects to meet deadlines.
• Excellent organizational, interpersonal, and communication skills.

Responsibilities

• Accurately enter demographic and financial data for each account.
• Research complex problems using available resources and implement preventive solutions.
• Process enrollment/billing across multiple queues with timely accuracy.
• Maintain professional behavior and clear, proactive communication.
• Support a fast-paced environment with minimal supervision, handling multiple tasks.

Skills

Payor credentialing

CAQH database

Credentialing coordination

Customer service

Project management

Tools

CAQH Practice Administrator

MS Word

Excel

Access

Job description

Company Description

USPh (U.S. Physical Therapy) is one of the largest publicly traded, independent operators of leading physical and occupational therapy clinics dedicated to enhancing patient outcomes through a collaborative, partnership-driven model. We partner with close to 700 clinics nationwide, across 44 states, offering them the resources, operational support, and clinical expertise needed to thrive in today's healthcare landscape.By aligning with the USPh network, our partners benefit from operational support and a shared commitment to evidence-based care, all while maintaining their autonomy and local identity.We believe that the strength of our partnerships lies in the individuality of each partner. Our "OnePartner" model is designed to allow clinics to maintain their unique culture and identity, empowering them to foster meaningful relationships within their communities. By preserving their local roots, clinics can continue to build trust with patients and referral sources, while attracting top talent who value the chance to be part of a personalized, community-centered environment.

Job Description

We are seeking a credentialing candidate that is a highly motivated, autonomous individual who has a positive attitude to join our company as a Provider Enrollment Specialist on the Managed Care Operations team.The enrollment specialist ensures that all data entry is accurate, including demographic and financial information for each account. Responsible for researching complex problems using available resources and implementing solutions to mitigate any future issues. This job will be responsible for working various work queues and other duties as assigned. The responsibilities will be aligned with the timely and accurate entry of all phases of enrollment/billing process for exceptional level of service to our members. This job requires professional behavior, dependability and good communication skills.

Qualifications

• Minimum of 3-5 years' experience submitting payor credentialing applications for providers
• Health plan knowledge and familiarity required credentialing all payor types: Managed Care, Medicare & Medicaid Replacements & Workers Compensation
• Experience utilizing & maintaining credentialing database
• Highly knowledgeable & proficient with CAQH database. Familiarity with CAQH Practice Administrator role.
• Have established relationships with credentialing reps at various health plans
• Prepare and process credentialing applications for all payor types
• Experience credentialing multi-Tax ID entities
• Comfortable processing high volume credentialing applications & recredentialing applications
• Meet and adhere to company's turnaround time and comply with credentialing goals and performance metrics
• Customer service oriented & easily able to develop relationships.
• Will have a detail-oriented and motivated work ethic, as well as capable of managing projects in a timely manner to meet set deadlines
• Possess excellent organizational, interpersonal, and communication skills

MS Word, Excel & Access skills required

Additional Information

Work Environment

• The role follows a remote work schedule central hours.
• Must be able to work in a fast-paced environment and manage multiple tasks with minimal supervision.

What You'll Get:

• Comprehensive great inexpensive benefits.
• Generous paid time off with holidays.
• Continuous mentoring to further your career path.
• Great close-knit team environment. We work hard, but we have fun!

Compensation: USD 58000 - USD 63000 - yearly