Credentialing Business Partner

  • NY001 IVYREHAB PHYSICAL THERAPY OT & SLP PLLC
  • White Plains, NY
  • 7mo ago
  • Full-Time
  • On-site

State of Location:

New York

Position Summary:

At Ivy Rehab, we're "All About the People"! As a Credentialing Business Partner, you will play a crucial role in our mission to help enable people to live their lives to the fullest.

Join Ivy Rehab’s dedicated team where you’re not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient.

Job Description:

Your responsibilities will include: 

  • Maintains current and accurate data for all providers. 

  • Completes provider enrollment with payors, including credentialing and re-credentialing applications, monitors applications and follow up as needed. 

  • Tracks and maintains current provider state licenses, certifications, malpractice coverage, and any other documents required for all providers. 

  • Must have knowledge of health plans and other state agency requirements for credentialing. 

  • Maintains provider information in online databases, such as NPI and CAQH. 

  • Lead through and adapt to change. 

  • Research and analyze data. 

  • Audits and ensures organizational and practice address information with health plans are listed correctly. 

  • Ability to work independently with minimal supervision. 

  • Maintains confidentiality of provider information. 

  • Communicate cross-departmentally to ensure smooth onboarding of providers, assist in resolution of payor issues, and help to ensure a smooth revenue cycle. 

  • Performs other duties as assigned.  

To excel in this role, you should possess: 

  • 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/Pediatric Rehab 

  • Computer skills using Microsoft Outlook, Word, Excel and Access 

  • Experience in using credentialing software 

  • Experience working with a delegated CVO (Credentials Verification Organization). 

  • Experience obtaining and managing delegated agreements and the relevant audit and roster process. 

  • Excellent oral communication skills and phone presence 

  • Understanding of quality customer service and relationship with insurance carriers 

  • May be required to travel for training up to twice per year.

 

Why choose Ivy?    

  • Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture.   

  • Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes.    

  • Incentives Galore: Eligibility for full benefits package beginning within your first month of employment. Generous PTO (Paid Time Off) plans and paid holidays. 

  • Empowering Values: Live by values that prioritize teamwork, growth, and serving others.

Compensation for this role ranges up to $70,000.00 based on experience.

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We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.

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