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Credentialing Specialist

2 months ago

Oak Brook, Illinois, United States Athletico Physical Therapy Full time
Job Summary

Athletico Physical Therapy is seeking a skilled Credentialing Coordinator to join our team. As a Credentialing Coordinator, you will play a critical role in ensuring that our clinical staff is properly credentialed and enrolled with payers.

Key Responsibilities
  • Review and verify credentialing information for approximately 300 providers in assigned states/territories
  • Obtain and track necessary documentation for payer enrollment processes
  • Communicate with payers and internal departments to resolve credentialing issues
  • Audit provider rosters upon payer requests
Requirements
  • High school diploma or equivalent required
  • Minimum 1 year of payer enrollment experience required; 2-3 years' experience preferred
  • Knowledge of CAQH/Proview, NPPES/I&A Management System, and PECOS preferred
  • Proficiency in Microsoft 365 required
What We Offer

Athletico Physical Therapy provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.