Credentialing Specialist

6 hours, 54 minutes ago
Full-time
Mid Level
Operations
IVX Health

IVX Health

IVX Health is a national provider of infusion and injection therapy for patients with complex chronic conditions. They offer biologic infusion and injection therapies in outpatient centers with unique amenities like private suites and flexible scheduli...

Health Care Providers & Services
51-250
Founded 2013
$136M raised

Description

  • Maintain complete and current provider files for governmental and commercial payer applications.
  • Credential new providers and re-credential existing providers with clinics where they hold staff privileges.
  • Facilitate payer practitioner-linking applications and track enrollment status across required organizations and payers.
  • Manage provider contracts, licenses, credentials, and renewal activities.
  • Communicate with payers regarding fee schedules, updates, and supporting documentation.
  • Develop, implement, and monitor efficient, cost-effective credentialing and contracting procedures.
  • Ensure credentialing activities comply with health plans, state and federal regulations, Medicare, and accrediting bodies.
  • Maintain accurate provider profiles in CAQH, PECOS, CMS, Verity, and Availity databases.

Requirements

  • Bachelor’s degree or equivalent work experience.
  • 3–5 years of successful provider and facility contracting and credentialing experience with commercial and government payers.
  • Experience supporting multi-site and/or multi-state providers.
  • Knowledge of provider credentialing and its impact on the revenue cycle.
  • Exceptional written and verbal communication skills.
  • Strong analytical, problem-solving, and conflict-resolution abilities.
  • Proficiency with Microsoft Office, Outlook, Teams, and standard office software.
  • Certified Provider Credentialing Specialist (CPCS) certification preferred.
  • Experience with infusion, gastroenterology, rheumatology, neurology, or large distributed medical practices preferred.

Benefits

  • $20–$26 USD per hour pay range.
  • Medical, dental, vision, prescription drug, and telemedicine coverage.
  • 401(k) retirement plan with company match.
  • HSA, HRA, and flexible spending options.
  • Life, disability, accident, critical illness, and hospital indemnity insurance.
  • Paid time off, fertility and family planning support, and wellness resources.
  • Tuition reimbursement, certification assistance, continuing education, and professional development.
  • Employee assistance program, volunteer time off, charitable giving match, and referral bonus program.

Interested in this position?

Apply directly on the company website

Apply Now

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