Credentialing & Revenue Ops Manager (Hybrid)

Plutonic; United States; Hybrid; USD 48,000 - 83,000; Part time

Job summary

A technology-enabled mental health services company seeks a Credentialing & Operations Manager (Consultant) to oversee payer enrollment and insurance operations. The ideal candidate will possess strong experience in mental health credentialing and operational efficiency to enhance reimbursement processes. This hybrid part-time role requires in-person work as needed, prioritizing applicants with significant background in insurance operations and behavioral health billing.

Qualifications

• 3+ years of experience in behavioral health billing, credentialing, or revenue cycle management within the mental health industry.
• Strong understanding of CPT codes, telehealth rules, and payer requirements.
• Excellent communication, organization, and problem-solving skills.

Responsibilities

• Manage and submit therapist credentialing across various payers.
• Oversee collection of clinician documentation and licenses.
• Contribute to process improvements across operations.

Skills

Behavioral health operations

Revenue cycle management

Communication skills

Technical proficiency with EHR systems

Education

Bachelor's degree in Healthcare Administration or related field

Tools

TheraNest

SimplePractice

Athena

Job description

A technology-enabled mental health services company seeks a Credentialing & Operations Manager (Consultant) to oversee payer enrollment and insurance operations. The ideal candidate will possess strong experience in mental health credentialing and operational efficiency to enhance reimbursement processes. This hybrid part-time role requires in-person work as needed, prioritizing applicants with significant background in insurance operations and behavioral health billing.