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Credentialing Specialist
Ivy Rehab Network. Maintain current and accurate data for all providers.
Posted 9/21/2026full-timeRemote • New Jersey • United StatesJuniorMid-Level💰 $22 - $25 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in provider healthcare credentialing, including maintaining accurate provider data, managing enrollment applications, and ensuring compliance with health plan requirements. Proficient in using credentialing software and Microsoft Office tools to support efficient operations.
Highest-signal resume keywords
Provider Healthcare CredentialingCredentialing Software ExperienceCertified Provider Credentialing Specialists (CPCS)Data Research and AnalysisExcellent Oral Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider Data MaintenanceEnrollment Application ManagementLicense and Certification TrackingQuality Customer ServiceHealth Plan Knowledge
Soft Skills
Confidentiality MaintenanceIndependent Work Ability
Tools & Technologies
Microsoft OutlookMicrosoft WordMicrosoft ExcelMicrosoft Access
Certifications & Qualifications
Certified Provider Credentialing Specialists (CPCS)
Industry Keywords
Outpatient PT/OT/SP/ABA/Pediatric RehabCVO CoordinationInsurance Carrier RelationshipsState Agency Requirements
About the role
Key responsibilities & impact- Maintain current and accurate data for all providers.
- Complete provider/payor enrollment applications, monitor applications and follow up as needed.
- Maintain copies of current state licenses, malpractice coverage and other required provider documents.
- Maintain provider information in online databases such as NPI and CAQH.
- Collect information from providers and coordinate with the CVO to submit credentialing requests.
- Track license and certification expirations to ensure timely renewals.
- Audit and ensure practice address information with health plans is listed correctly.
- Maintain confidentiality of provider information.
- Perform other duties as assigned.
Requirements
What you’ll need- A high school diploma or GED equivalent is required.
- Certified Provider Credentialing Specialists (CPCS) certification preferred, but not required.
- A minimum of two years of experience in all facets of provider healthcare credentialing, with a focus on Outpatient PT/OT/SP/ABA/Pediatric Rehab.
- Computer skills using Microsoft Outlook, Word, Excel and Access.
- Experience using credentialing software and working with a CVO and external vendors.
- Excellent oral communication skills and phone presence.
- Understanding of quality customer service and relationship with insurance carriers and field operators.
- Knowledge of health plans and other state agency requirements for credentialing.
- Ability to research and analyze data.
- Ability to work independently with minimal supervision.
- Ability to maintain confidentiality of provider information.
Benefits
Comp & perks- Eligibility for full benefits package beginning within your first month of employment
- Generous PTO (Paid Time Off) plans
- Paid holidays
- Medical, dental, vision insurance
- 401k with company matching contribution
- Disability & life insurance
- Pet insurance discounts
- Paid parental leave and maternity leave
- Gym and wellness discounts
- Free mental health + financial services
- Generous PTO Program
- 6 paid holidays annually
- Bonus eligibility