Credentialing Specialist

About This Role

Caring for patients after surgery is the heart of the job on a busy surgical ward. This role ensures that credentialing requirements for governmental agencies and commercial managed care insurers/networks are met and managed timely, so that physicians are enrolled in and maintain active credentialing status with such entities. The specialist is also responsible for credentialing, as assigned, to other IPM physician group models.

Responsibilities

• Submit and follow up on credentialing to all contracted commercial payors and government agencies timely and accurately
• Support other IPM locations with credentialing as needed and maintain close working relations with appropriate contacts to keep them well informed
• Maintain appropriate tracking of time and promptly report it on a weekly basis as established by the Credentialing Department
• Enter and maintain data in the credentialing database, Intellisoft, according to established data entry rules and policies
• Ensure that demographic changes to contracted physicians are promptly reported to all contracted managed care companies and governments agencies
• Perform database queries and reports as needed
• Maintain managed care contract files (paper and electronic) and department databases for contracts and credentialing

Requirements

• High School Diploma/GED required
• 3 – 5 years of experience with physician credentialing and/or physician contracting requirements in a managed care environment
• Comprehensive knowledge of the managed care industry, with specific emphasis on physician credentialing and/or physician contracting requirements
• Broad understanding of the managed care contracting process is required and knowledge of managed care payers’ processes
• Responsible for credentialing activities as it relates to initial credentialing, re-credentialing, and credentials modification
• Ability to communicate effectively both verbally and in writing with internal departments, physicians, physician group management staff and managed care companies to achieve the necessary results required in the credentialing process and support of the Credentialing Department

Nice to have:

• Bachelor’s degree

Benefits

• Challenging and rewarding work environment
• Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• Career development opportunities within UHS and its 300+ Subsidiaries
• Pet Insurance

About the Company

Independence Physician Management (IPM) was formed in 2012 as the physician services unit. IPM develops and manages multi-specialty physician networks and urgent care clinics within the Acute Care and Behavioral Health Divisions. A subsidiary of UHS, IPM operates in 13 markets across 7 states. Universal Health Services, Inc. (UHS) is one of the nation’s largest providers of hospital and healthcare services, with annual revenues during 2025 of $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and operates acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.