Credentialing Specialist

Only-Connect Psychological Services; United States; Remote; USD 28,000 - 41,000; Part time

Benefits offered by this job

Fully remote work

Flexible hours

Growth opportunities

Job summary

Only-Connect Psychological Services is seeking a meticulous Credentialing Specialist to manage the full lifecycle of credentialing for our mental health therapists. This fully remote, part-time contract role offers potential growth to full-time as the company expands.

You will credential providers with various insurance payers, onboard them to EAP platforms, and ensure compliance with federal and state regulations while maintaining accurate provider data.

Qualifications

• 2+ years in healthcare credentialing for mental health providers.
• Experience with insurance paneling (commercial and government).
• Experience with EAP platform enrollment preferred.
• Proficiency with CAQH, NPPES and credentialing portals.

Responsibilities

• Initiate and manage credentialing for mental health clinicians with various payers.
• Onboard providers to EAP platforms and manage enrollment documentation.
• Maintain organized credentialing records and ensure regulatory compliance.
• Generate reports on credentialing status and timelines.

Skills

Credentialing

Organizational skills

Time management

Communication skills

Remote work

Tools

CAQH

NPPES

G-Suite

Microsoft Office

Job description

Job Title: Remote Credentialing Specialist (1099 Contractor) Company: Only-Connect Psychological Services Location: Fully Remote (Anywhere in the US) Employment Type: 1099 Independent Contractor, Part-Time (20) leading to Full-Time Job

Job Overview

Only-Connect is seeking an experienced and highly organized Credentialing Specialist to manage the full lifecycle of credentialing for our mental health therapists. This role will require credentialing our providers with various insurances and onboarding onto Employee Assistance Program (EAP) platforms, enabling our clients to access vital mental health services. The ideal candidate will be a detail-oriented professional with a strong understanding of the credentialing process in a healthcare setting, particularly within mental health. This is a part-time contract role with the strong potential to grow into a full-time position as our company expands.

Key Responsibilities

Insurance Credentialing

• Initiate and manage the credentialing process for mental health clinicians with various commercial and government insurance payers (e.g., Aetna, Cigna, BCBS, Optum, UnitedHealthcare, Medicare, Medicaid, etc.).
• Complete and submit all necessary applications (online and paper), ensuring accuracy and completeness.
• Track application statuses diligently and follow up regularly with insurance companies to expedite approvals.
• Maintain accurate and up-to-date provider information in our internal databases and credentialing software.
• Resolve any issues or discrepancies that arise during the credentialing process.
• Stay informed of payer-specific requirements and changes in credentialing regulations.

EAP Platform Enrollment

• Research and onboard our providers to various Employee Assistance Program (EAP) platforms, managing the application and approval process.
• Ensure all required documentation is submitted for EAP participation.
• Maintain current knowledge of EAP platform requirements and updates.

Administrative & Compliance

• Maintain organized digital files and records for all credentialing activities.
• Assist with the development and implementation of credentialing policies and procedures.
• Ensure compliance with all relevant federal, state, and payer-specific regulations.
• Generate reports on credentialing status and timelines as needed.

Required Qualifications

• Proven experience (2+ years) in healthcare credentialing, specifically with mental health providers
• Demonstrated experience with insurance paneling (commercial and government payers).
• Experience with EAP platform enrollment is highly preferred.
• Strong understanding of CAQH, NPPES, and other relevant credentialing portals and processes.
• Exceptional attention to detail and accuracy.
• Excellent organizational and time management skills, with the ability to manage multiple applications simultaneously and meet deadlines.
• Proactive problem-solver with strong follow-up skills.
• Excellent verbal and written communication skills.
• Proficiency with G-Suite, Microsoft Office Suite, and comfortable with learning new software/CRM systems.
• Ability to work independently and efficiently in a fully remote environment.
• Reliable internet connection and a dedicated home office setup.
• Comfortable with building skills to help with session confirmations and various back office administrative tasks

Compensation and Benefits

• $20-30 hourly rate, commensurate with experience, with clear growth trajectory
• Part-time position starting at 20 hours/week, building to 30 hours/week
• Fully remote work environment offering flexibility and work-life balance.
• 1099 Independent Contract position
• Opportunity to be part of a supportive and growing team dedicated to improving access to mental healthcare.
• Salary: $20-30/hour, commensurate with experience