About the Role
The Credentialing Specialist is responsible for managing the end-to-end credentialing process for healthcare providers, ensuring timely and accurate submission of documentation to insurance panels and regulatory bodies.
Responsibilities
- Verify provider qualifications, licenses, and certifications
- Submit and track applications for insurance panel participation
- Communicate with providers to collect required documentation
- Maintain accurate records within credentialing databases
- Follow up with insurance carriers on application status
- Ensure compliance with state and federal regulations
- Respond to audits or credentialing-related inquiries
- Coordinate with internal teams to support provider onboarding
- Monitor renewal timelines and initiate re-credentialing
- Resolve discrepancies in provider documentation
- Stay current with payer-specific credentialing requirements
- Support the development of process improvements
- Assist in onboarding training for new team members
- Manage high volumes of credentialing cases efficiently
- Ensure timely completion of delegated credentialing tasks
Nice to Have
- Certified Provider Credentialing Specialist (CPCS) credential
- Experience with cloud-based EHR or practice management systems
- Background in telehealth or digital health platforms
- Prior work in fast-paced startup environments
Compensation
Competitive salary and benefits package commensurate with experience
Work Arrangement
Remote
Team
Part of the provider operations team focused on streamlining onboarding and compliance processes
About the Team
This role supports a growing network of independent mental health practitioners by ensuring they are fully credentialed to accept insurance. The team emphasizes efficiency, accuracy, and provider support.
What You’ll Do
- Manage full-cycle credentialing for individual practitioners and group practices.
- Work closely with providers to streamline documentation submission.
- Ensure providers can bill insurance promptly by minimizing credentialing delays.
Not available
