Highlights
Additional Data: Select Medical’s Outpatient Division is a nationally recognized, locally focused leader in outpatient physical rehabilitation, with more than 1,900 locations across 46 states and the District of Columbia. Our family of brands includes Select Physical Therapy, NovaCare Rehabilitation, RUSH Physical Therapy, Physio, Kessler Rehabilitation Center, KORT, Saco Bay Physical Therapy, Concentra, and Keystone Physical Therapy.
Numbers & Facts
| Location | Plano, Texas |
| Industry | Healthcare Services |
| Company Size | 10,000 employees or more |
| Year Founded | 1996 |
| Website | http://www.selectmedical.com/ |
Description
Overview:
Responsibilities:
Payor Enrollment Coordinator
Credentialing Verification Organization - Plano, TX
Position Type:
Full-Time | Hybrid
Schedule:
Monday–Friday | 7:30 am-4:30 pm (CT)
Compensation:
$20.00 per hour
Location:
Credentialing OP Division
3801 15th Street
Building A, Suite A300
Plano TX 75075
Why You’ll Love Working With Us
We believe that when employees feel supported, they’re able to thrive both in their careers and in their personal lives. In addition to a strong focus on work–life balance, we offer:
- A comprehensive orientation and training program
- Paid Time Off (PTO) and Extended Illness Days (EID)
- Health, dental, and vision insurance, plus life insurance and prescription coverage
- A 401(k) retirement plan with company match
- Short- and long‑term disability coverage
- Personal and family medical leave
Ready to Make an Impact?
If you enjoy working on the business side of healthcare, love helping people, and want to be part of a team that changes lives every day, this opportunity is for you. We’re excited for you to discover what makes Select Medical such a special place to grow your career! Watch for a glimpse into life at Select Medical!
- Manage all phases of the Non-Delegates Payor Enrollment process for providers and facilities.
- Make determinations as to why claims are rejected and partner with external sources to determine the best resolution.
- Partner with internal resources (Contracting department) to determine the payor credentialing requirements.
- Understand all payors and their requirements in order to build relationships within a specific territory so as to know what questions to ask and from whom to get resolutions.
- Review all contracting for accuracy and partner with payors to ensure the proper credentialing status.
- Complete Payor Enrollment and re-credentialing for facilities and practitioners with all applicable, contracted, Non-Delegated Payors.
- Work with CVO Coordinators for the collection of all payor enrollment requirements such as signature pages, state licenses, proof of liability, etc.
- Complete and track all health plan credentialing and enrollment for practitioners and facilities.
- Serve as a company source of information regarding the status of non-delegated payor credentialing activity.
- Maintain the credentialing database with relevant payor tracking and data.
- Monitor provider and facility status in both internal and external data systems relating to non-delegated payor enrollment.
- Maintain all payor enrollment portals such as CAQH, with current information, such as contact information, licensure effective dates and current certificate of liability data.
Minimum Requirements:
- At least 2 years of experience in the credentialing field or a related healthcare field.
- Proficient in Windows (Word, Excel, and Access).
- Ability to be professionally assertive with both internal and external partners to be influential in finding resolutions.
- Strong oral and written communication skills with the ability to interact professionally and positively within all levels of the organization.
- Detail-oriented with good organizational skills and the ability to maintain accuracy while meeting deadlines and production requirements.
- Professional with the ability to work well independently as well as collaboratively with a team.
Preferred Qualifications:
- Experience working in a hospital and/or with Medicare.
- Experience in payor enrollment, facility enrollment, and Medicare/Medicaid.
- Knowledge of credentialing processes, terminology, and NCQA standards.
- Strong analytical skills, including process improvement and problem resolution.
Select Medical’s Outpatient Division is a nationally recognized, locally focused leader in outpatient physical rehabilitation, with more than 1,900 locations across 46 states and the District of Columbia. Our family of brands includes Select Physical Therapy, NovaCare Rehabilitation, RUSH Physical Therapy, Physio, Kessler Rehabilitation Center, KORT, Saco Bay Physical Therapy, Concentra, and Keystone Physical Therapy.
Across all our centers, our highly respected clinical teams provide preventative and rehabilitative care designed to maximize function and promote overall well-being. By creating individualized treatment plans tailored to each patient’s goals—and partnering with physicians, employers, payers, and case managers—we’re able to deliver exceptional, cost‑effective outcomes. We’re also proud to support professional sports teams, colleges, universities, and high schools with physical therapy and athletic training services.
Equal Opportunity Employer, including Disabled Veterans
About Company
Superior quality and care. Compassion and Respect. Results oriented. Teamwork. Resourcefulness. These are the core values upon which Select Medical was built. Since its founding in 1996, Select Medical has passionately focused on providing superior, patient-centered care that improves quality of life.Co-founded by Rocco Ortenzio and Robert Ortenzio, Select Medical began as a regional provider of outpatient physical rehabilitation. Contract therapy was added to the company's specialized health care offerings in 1997, and was quickly followed by the introduction of long-term acute care in 1998. In 1999, Select Medical made one of its largest acquisitions by purchasing NovaCare Physical Rehabilitation and Occupational Health. In three years, Select Medical had grown from a small start-up into a diversified health care company with a national presence. This progressive yet responsible growth was one attribute that led to the company's recognition as one of the Best Managed Companies in America by Forbes magazine.