Credentialing Specialist | Ridgeland, Mississippi

Overview

Mid South Rehab Services, Inc., Ridgeland, Mississippi is adding a full-time Credentialing Specialist to our Revenue Cycle Team at our Employee Support Center in Ridgeland. Mid South is celebrating 30 years of providing exceptional therapy services in the healthcare industry across four states:
Mississippi, Tennessee, Alabama & Arkansas. Visit our website for more information about Mid South Rehab Services, Inc. | Mississippi Therapy Provider | Physical, Occupational and Speech Therapy Services. If you have the experience outlined below and meet the qualifications listed here and want to join an exceptional team, we invite you to apply today.

• Provider Credentialing & Enrollment:
  Complete and submit credentialing, recredentialing, and enrollment applications for all required payers and facilities.
• Monitor application progress, follow up routinely with payers, and ensure timely completion and confirmation of enrollment.
• Maintain detailed credentialing records and payer correspondence logs within the credentialing database or designated tracking system.
• Accurately track payer effective dates to align with provider start dates and avoid claim delays.
• Manage CAQH profiles, PECOS updates, and state licensure verification for all providers.

• Maintain complete, organized credentialing files including state licenses, professional certifications, liability coverage, NPI, and required documentation.
• Ensure all credentialing processes comply with payer, state, and federal regulations (including CMS and Medicaid).
• Track license and certification expirations and coordinate renewals to prevent lapses in coverage or active participation.
• Proactively identify and escalate credentialing risks or delays that may affect billing or scheduling.

• Collaborate with HR, Revenue Cycle, and Therapy Leadership to ensure new hires are credentialed and cleared before start of service.
• Communicate credentialing status updates to leadership, office managers, and billing staff regularly.
• Respond promptly to internal and external requests for verification of provider status or privileges.

• Generate weekly credentialing status reports for leadership review.
• Recommend process improvements or automation opportunities to enhance accuracy, efficiency, and compliance.
• Support audit readiness by maintaining complete, organized documentation for all providers.

• Timeliness & Accuracy: 100% of new provider credentialing and enrollment applications submitted within 5 business days of receiving all required documentation.
• 100% of providers recredentialed before expiration dates with no lapses in payer participation.
• 100% CAQH attestation every 90 days.
• 0% lapse in licenses, certifications, or malpractice coverage.
• 95% accuracy in payer effective date entry and updates.

• Credentialing files maintained in full compliance with payer and regulatory standards.
• Less than 2% of applications returned or delayed due to data errors.
• Risks or potential lapses escalated within 24 hours of discovery.

• Weekly updates provided to leadership on credentialing progress and expirations.
• Proactive communication with HR, billing, and field operations to align workflows.
• Respond to internal/external inquiries within one business day.

• Regularly identify opportunities to streamline processes or improve automation.
• Participate in quarterly reviews to align with payer and regulatory changes.

Mid South Rehab Services, Inc. offers a comprehensive benefits package to attract and retain clinical professionals, including Health, Dental, Vision, Company Paid Life Insurance, Long & Short-Term Disability, 401k with Employer Match, Paid Time Off, Holiday Pay, and Recognition Programs.

• Minimum of five (5) years of healthcare credentialing experience; therapy or multi-state credentialing strongly preferred.
• Demonstrated knowledge of Medicaid, Medicare, and commercial payer enrollment processes.
• Experience managing CAQH, PECOS, and payer web portals.
• Associate degree or higher preferred; equivalent experience considered.

• In-depth understanding of healthcare credentialing, payer enrollment, and CAQH/PECOS processes.
• Strong analytical and follow-up skills with ability to manage multiple provider files simultaneously.
• Excellent written and verbal communication; ability to work cross-functionally with leadership and field operations.
• Demonstrated accountability for deadlines, data accuracy, and compliance.
• Proficiency with Microsoft Excel, credentialing software, and payer portals.
• Exceptional attention to detail, organizational skills, and confidentiality.