Sr. Credentialing & Payor Relations Specialist

Intune-Physical-Therapy; Land Mark (TN); Presencial; USD 65.000 - 90.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Group medical

Dental insurance

Vision insurance

Flexible Spending Account (FSA)

Descripción de la vacante

Intune Physical Therapy seeks a Sr. Credentialing & Payor Relations Specialist to manage provider enrollment, credentialing, and payor contracting across multiple clinics from Brentwood, TN.

This on-site role partners with HR, Operations, and Practice Leadership to drive onboarding and strategic payor initiatives. The candidate will oversee full credentialing lifecycles, renewals, and acquisitions-related transitions, ensuring accurate documentation and optimal reimbursements across commercial,

Formación

• Minimum 3–5 years of experience in provider credentialing or payor enrollment.
• Experience with commercial insurance payors, Medicare, and Medicaid programs.
• Proficiency with PECOS and provider enrollment systems.
• Strong project management and organizational skills.

Responsabilidades

• Coordinate onboarding and credentialing cycles for new and existing healthcare providers.
• Track credentialing timelines, compliance requirements, expiration dates, and renewals using digital dashboards.
• Direct payor enrollment transitions during corporate acquisitions, mergers, and asset deals.
• Research, prepare, and actively renegotiate payor contracts and fee schedules to maximize reimbursements.
• Coordinate ongoing relations with commercial, Medicare, and Medicaid payors across multiple states.
• Collaborate with HR, operations, and compliance teams to ensure a seamless provider onboarding pipeline.

Conocimientos

Provider credentialing

Payor enrollment

Revenue cycle operations

Project management

Educación

High School Diploma

Healthcare Administration degree

Certified Provider Credentialing Specialist (CPCS)

Certified Professional Medical Services Management (CPMSM)

Herramientas

PECOS

Descripción del empleo

Sr. Credentialing & Payor Relations SpecialistClassification: ExemptReports to: Director of Finance & AcquisitionsLocation: Brentwood, TNDate: November 2026About Intune Physical TherapyAt Intune, we build deeply personalized physical therapy experiences. As a family business, we launched Intune with the core belief that physical therapy should be personal: a personal plan of care tailored to each individual’s goals and circumstances, and an outstanding patient experience based on personal and lasting relationships. We believe that by prioritizing the individual and committing to their long-term and full-body healing, we can make a profound and lasting impact on our patients and our communities.Our parent company, Highland Ventures, is a national venture management company focused on strategically developing and operating businesses centered around its real estate portfolio. A family-owned business, Highland Ventures operates in the real estate, foodservice, and healthcare industries, while also evaluating other industries for investment. Our current businesses include:Hoogland Restaurant Group: The largest franchisee of Marco's Pizza with 130+ locations.Legacy Commercial Property: Own and manage over 700 commercial properties.Highland Pure Water & Ice: 24/7 kiosks with over 70 locations in 10+ states.Intune Physical Therapy: A physical therapy brand currently being built from the ground up.Role SummaryThe Sr. Credentialing and Payor Relations Specialist is a critical on-site role responsible for managing provider enrollment, credentialing, payor contracting, and strategic payor initiatives across multiple clinic locations. This position oversees the full provider credentialing lifecycle, including new provider enrollments, recredentialing, and annual renewals, while also supporting complex provider transitions associated with practice acquisitions, network consolidations, and corporate asset deals. The Sr. Specialist serves as a key liaison for multi-state payor relations, coordinating enrollment activities, maintaining provider participation, optimizing commercial payor contracts, and supporting contract renegotiations. Working cross-functionally with Human Resources, Operations, and Practice Leadership, this role ensures seamless project coordination throughout the provider onboarding process and supports organizational growth through effective payor and credentialing strategies.Key ResponsibilitiesProvider Credentialing & Documentation Lifecycle· Coordinate full onboarding and credentialing cycles for new and existing healthcare providers.· Collect, verify, and maintain provider documentation including licenses, certifications, and malpractice insurance.· Track credentialing timelines, compliance requirements, expiration dates, and yearly renewals using digital dashboards.· Communicate directly with providers to resolve missing documentation and clarify enrollment statuses.Acquisitions, Asset Deals & Contract Strategy· Direct payor enrollment transitions during corporate acquisitions, mergers, and structural asset deals.· Research, prepare, and actively renegotiate payor contracts and fee schedules to maximize reimbursements.· Coordinate ongoing relations with commercial, Medicare, and Medicaid payors across multiple states.Cross-Functional Collaboration & Operations· Partner with HR, operations, and compliance teams to ensure a seamless provider onboarding pipeline.· Identify opportunities to optimize workflows, tracking tools, and departmental efficiency.· Provide general administrative and project coordination support to management as needed.Qualifications:· Minimum 3-5 years of experience in provider credentialing, payor enrollment, healthcare revenue cycle operations, or physician practice administration.· Experience working with commercial insurance payors, Medicare, and Medicaid programs.· Proficiency with PECOS and applicable provider enrollment systems.· Strong project management and organizational skills with the ability to manage multiple priorities simultaneously.Preferred Qualifications:· High School Diploma or equivalent required; degree in Healthcare Administration or related field preferred.· Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred.· Experience supporting multi-state healthcare organizations or acquisition integrations preferred.Position type and work hours:This is a full-time, in-office position in Brentwood, TN. Days and hours of work are typically Monday through Friday.Travel:No travel is required for this role.Benefits:· Group medical, dental, vision, and other supplemental policies· Flexible Medical Spending Accounts (FSA)· Health Savings Account (HSA)· 401(k) with 50% match· Paid time off plus 7 paid holidaysPlease note that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.#IntuneJobs