Insurance Credentialing Coordinator

About Us: Founded in 2010, All About Therapy specializes in occupational and speech therapy services for children from birth through age 17 with a wide range of diagnoses and abilities. Our Mission is to work with children with developmental delays and special needs to create beneficial outcomes that otherwise might not be possible. Our therapists go to wherever the child is, whether they are at home, school, daycare or various other settings for their services. We place a high emphasis on close collaboration with families, teachers and school administrators to ensure each child reaches their highest potential. We work with each child's pediatrician and community agencies to provide care that is cohesive and an effective continuum of their care.

Job Summary:

The Credentialing Coordinator is responsible for managing and overseeing the insurance credentialing and re-credentialing process for occupational and speech therapists. This role ensures that all therapists maintain compliance with insurance providers, regulatory agencies, and organizational standards. The coordinator will work closely with therapists, insurance companies, and administrative staff to facilitate timely approvals and renewals.

Key Responsibilities:

• Coordinate and manage the credentialing and re-credentialing process for occupational and speech therapists.
• Prepare, submit, and track credentialing applications with various insurance payers and regulatory agencies.
• Maintain and update credentialing records, licenses, certifications, and insurance contracts.
• Communicate with insurance companies and managed care organizations to ensure timely credentialing approvals.
• Monitor expiration dates for licenses, certifications, and contracts to prevent lapses in credentialing status.
• Troubleshoot and resolve credentialing issues that may arise with insurance providers.
• Develop and maintain a database of therapist credentialing documentation and requirements.
• Ensure compliance with federal, state, and accreditation regulations regarding credentialing and insurance participation.
• Provide ongoing support to therapists regarding credentialing requirements and procedures.
• Collaborate with billing and administrative teams to ensure accurate provider enrollment with insurance networks.

Qualifications:

• High school diploma or equivalent required; Associate’s or Bachelor’s degree in healthcare administration, business, or a related field preferred.
• Previous experience in medical credentialing, provider enrollment, or healthcare administration required.
• Strong knowledge of insurance credentialing processes and regulations.
• Familiarity with occupational and speech therapy credentialing requirements is a plus.
• Excellent organizational and time-management skills.
• Strong attention to detail and ability to multitask.
• Effective communication and problem-solving skills.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and credentialing software.

What We Offer:

• Competitive pay based on experience.
• Health, dental, and vision insurance options.
• Paid time off and holidays.
• Professional development and training opportunities.
• Supportive and collaborative team environment.
• If you are a motivated professional looking to contribute to a meaningful and growing healthcare practice, we encourage you to apply!