Clinical Support, Communication Skills, Customer Support/Service, Database Administration, Detail Oriented, Health Plan, Healthcare, Interpersonal Skills, Managed Care, Medicaid, Medicare, Microsoft Access Database, Microsoft Excel, Microsoft Word, Occupational Therapy, Operational Support, Operations Management, Organizational Skills, Performance Metrics, Physical Therapy, Project/Program Management, Provider Credentialing, Team Lead/Manager, Team Player, Time Management, Worker's Compensation
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 Credentialing Specialist on the Managed Care Operations team.
Qualifications
Qualified candidates must possess:
- Minimum of 3-5 years' experience credentialing 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
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US Physical Therapy Inc
U.S. Physical Therapy is one of the largest publicly-traded, pure-play operator of outpatient physical and occupational therapy clinics.
The clinics provide pre- and post-operative care for a variety of orthopedic-related disorders and sports-related injuries, rehabilitation of injured workers and preventative care. USPh also manages physical therapy facilities for third parties, including physician groups and hospitals. Each of USPh’s clinics are directed by a licensed physical therapist that drive patient volume via local physicians, former patients and other referral sources. Marketing representatives are used to further augment sales.
USPh has grown its business through a combination of de novo development and strategic acquisitions. The strategic acquisitions has accelerated the Company’s growth, and are structured with significant ownership retained by the practice owners and founders.