Credentialing Specialist

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 providersHealth plan knowledge and familiarity required credentialing all payor types:  Managed Care, Medicare & Medicaid Replacements & Workers CompensationExperience utilizing & maintaining credentialing databaseHighly knowledgeable & proficient with CAQH database. Familiarity with CAQH Practice Administrator role.Have established relationships with credentialing reps at various health plansPrepare and process credentialing applications for all payor typesExperience credentialing multi-Tax ID entitiesComfortable processing high volume credentialing applications & recredentialing applicationsMeet and adhere to company’s turnaround time and comply with credentialing goals and performance metricsCustomer 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 deadlinesPossess excellent organizational, interpersonal, and communication skills MS Word, Excel & Access skills requiredAdditional Information:All your information will be kept confidential according to EEO guidelines.

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