Credentialing Specialist

Overview Team Rehab is a network of therapist-owned outpatient physical therapy clinics in Michigan, Illinois, Indiana, Wisconsin and Georgia. About Us Team Rehab is an employee-owned network of outpatient clinics across Michigan, Illinois, Indiana, Wisconsin, and Georgia. Since our first clinic opened in 2001, we’ve built a reputation for excellent outcomes, exceptional patient satisfaction, and a workplace where therapists love to work. Our mission is simple: Provide the best outpatient physical, and occupational therapy. Make therapy enjoyable for patients. Deliver measurable improvements in health and quality of life. We believe that great therapy starts with great people — and we’re committed to giving our team the tools, time, and support they need to succeed. Competitive Pay & Benefits Low-cost medical plan option, plus dental & vision coverage 401(k) match, profit sharing, and generous PTO Competitive salary with monthly bonus opportunities Ownership opportunities! A strong Equity & Engagement commitment — every team member’s voice matters. Responsibilities What You'll Do Verification : Conduct primary source verification of provider education, training, work history, licenses, and board certifications. Processing : Review, validate, and process initial and re-credentialing applications for providers and insurance payers and networks in an accurate and timely manner. Ensure appropriate and timely provider and payer notifications. Payer Enrollment : Submit and track provider enrollment applications with Medicare, Medicaid, and commercial insurance plans and networks. Tracking & Compliance : Monitor license and certification expiration dates, manage renewals, and maintain strict compliance with guidelines from NCQA or HHS/CMS. Develop knowledge of insurance carriers and requirements. Database Management : Keep digital records and profiles accurate in internal systems and platforms like CAQH ProView. Communication : Serve as the main point of contact for providers, insurance payers, and internal teams regarding credentialing and payer enrollment statuses. Establish and maintain relationships with insurance providers and credential personnel. Other : Interact with other administrative departments, senior management and Director of Revenue Cycle. Perform other duties as assigned. Qualifications What We’re Looking For Education : High school diploma or GED required. An Associate or Bachelor degree in Healthcare Administration or a related field is preferred. Experience : 1 to 3 years of background in healthcare administration, provider credentialing, or payer relations. Certifications : CPCS (Certified Provider Credentialing Specialist) or CPES (Certified Payer Enrollment Specialist) designation is a plus. Skills : Exceptional attention to detail, strong problem-solving and decision-making capabilities, outstanding time management and organizational skills, effective written and verbal communication, and the ability to maintain confidentiality with sensitive data. #J-18808-Ljbffr