Credentialing Specialist

Credentialing Specialist

Pelvic Rehabilitation Medicine is a physician-led specialty health care organization whose core business is to provide evidence-based, individualized treatment services for those suffering with chronic pelvic pain. Approximately 15-25% of men and women suffer from pelvic discomfort. In the US chronic pelvic pain impacts 28 million women and is projected to grow to 43.6 million by 2050 according to the NICHD.

Persistent pelvic pain is often overlooked, untreated, and misguided. At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms. Pelvic Rehabilitation Medicine has positioned itself at the center of the pelvic pain ecosystem. We are nationally recognized experts dedicated to reducing the number of people suffering from this affliction. Our unique outpatient, non-operative, minimally invasive ultrasound-guided approach to the pelvis is the first of its kind in the country. Our team focuses on diagnosing and treating chronic pelvic pain in women and men with a procedure that is safe, effective, and more comfortable than what has been offered by pelvic pain providers in the past.

Pelvic Rehabilitation Medicine was formed in 2017 and is headquartered in West Palm Beach, FL. Since its inception PRM has experienced rapid growth and routinely attracts patients from across the US and internationally. Pelvic Rehabilitation Medicine's fast-paced success has garnered the attention of the investment community positioning it to expand into new markets.

Role Overview

PRM is seeking a detail-oriented and highly organized individual to join our team as a Credentialing Specialist. In this role, you will be responsible for reviewing and processing applications for provider privileges, ensuring compliance with stringent deadlines. You will analyze provider credentialing files for completeness and accuracy while addressing any issues or changes that may arise. Additionally, you will respond to inquiries from providers through various communication channels and administer the re-credentialing process for Physicians and CRNAs while adhering to HIPAA regulations. The ideal candidate will have a minimum of 2 years of experience in provider credentialing, along with proficiency in credentialing/enrollment software. Strong communication skills are essential, as you will engage with multiple stakeholders across different organizations. The ability to thrive in a fast-paced, high-volume environment while utilizing problem-solving, critical thinking, and analytical skills is crucial for success in this position. You will also have the opportunity to assist with special projects and process redesign initiatives as requested.

Job Responsibilities

• Reviews and processes applications for provider privileges
• Focuses on follow-up, follow through and achievement of stringent deadlines
• Reviews and analyzes provider credentialing file for completeness, accuracy, issues, and changes
• Responds to provider inquiries received by letter, phone, or internal departments
• Administers re-credentialing of Physicians and CRNAs
• Complies with HIPAA regulations
• Assists with other special projects and process redesign initiatives as requested

Required Qualifications

• High School Diploma required; Bachelor's Degree preferred
• Minimum 2+ years' experience in provider credentialing
• Previous experience with provider credentialing/enrollment software
• Proficient in Microsoft Office suite
• Highly effective communicator with the ability to engage multiple stakeholders in various organizations
• Must be able to work well under pressure in a very fast-paced, high-volume environment
• Possess strong problem solving, critical thinking and analytical skills

At Pelvic Rehabilitation Medicine, we value, welcome, appreciate, and celebrate differences. PRM is proud to be an equal opportunity employer. Employment at PRM is based solely on a person's qualifications directly related to professional competence. We do not discriminate based on race, color, ancestry, national origin, religion, or religious creed, mental or physical disability, medical condition, genetic information, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity, gender expression, age, marital status, military or veteran status, citizenship, or other characteristics protected by state or federal law or local ordinance.