Credentialing Specialist

Upstream Rehabilitation

. Support initial credentialing and recredentialing of practitioners within the Preferred Therapy Providers network.

Posted 11/5/2026full-timeRemote • Arizona • United StatesMid-LevelSenior💰 $17 - $23 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare credentialing processes, including primary source verification and compliance with federal and state regulations. Proficient in managing practitioner information and maintaining accurate records while ensuring confidentiality and security.

Highest-signal resume keywords

Healthcare Credentialing ExperiencePrimary Source VerificationMicrosoft Office ProficiencyAttention To DetailEffective Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Credentialing OperationsData ManagementRecord KeepingCompliance MonitoringProvider Enrollment

Soft Skills

Self-MotivationOrganizational SkillsRelationship BuildingTime Management

Tools & Technologies

CAQHMicrosoft WordMicrosoft ExcelAdobe AcrobatWeb-Based Systems

Industry Keywords

Healthcare AdministrationPhysical TherapyRehabilitationRevenue Cycle OperationsCredentialing Standards

About the role

Key responsibilities & impact

Support initial credentialing and recredentialing of practitioners within the Preferred Therapy Providers network.
Collect and verify practitioner information.
Conduct primary source verification.
Maintain credentialing records, electronic files, and accurate practitioner data in the credentialing database.
Access and manage practitioner information through CAQH and paper application systems.
Provide administrative support for credentialing operations.
Maintain practitioner licensing, credentialing, certification, and insurance records.
Monitor license, certification, insurance, and continuing education requirements, including expiration and renewal dates.
Communicate with internal stakeholders and external practitioners regarding application status, credentialing requirements, and outstanding documentation.
Perform credentialing and recredentialing in accordance with federal and state regulations, payer requirements, accreditation standards, and company policies.
Monitor files and outstanding requirements, escalating delays, deficiencies, or compliance concerns.
Maintain confidentiality, integrity, and security of practitioner information.
Crosstrain and support other functional areas as needed.
Perform other projects and duties as assigned.

Requirements

What you’ll need

High school diploma or equivalent experience.
Strong attention to detail, self-motivation, and effective written and verbal communication skills.
Demonstrated ability to establish and maintain positive working relationships with providers, leadership, staff, and external partners.
Proficiency in Microsoft Office applications, including Word and Excel, Adobe Acrobat, and web-based systems.
Proven ability to organize and prioritize work, manage multiple responsibilities, and meet deadlines in a fast-paced environment.
Must reside in the United States.
Previous experience with healthcare credentialing, provider enrollment, revenue cycle operations, or other healthcare administrative functions.
Experience supporting healthcare organizations, including physical therapy, rehabilitation, or related clinical settings.

Benefits

Comp & perks

Annual paid Charity Day to give back to a cause meaningful to you
100% employer paid medical health insurance premium option available
Dental and Vision insurance
401(k) with company match
Generous PTO and paid holidays
Supportive team and leadership invested in your success
Competitive compensation
Comprehensive benefits
Ongoing professional development
Leadership development programs
Ongoing education and professional growth opportunities