Part-Time Credentialing Specialist — Impactful Health Access

Archdiocese of St. Louis; Missouri; On-site; USD 28,000 - 40,000; Part time

Job summary

Saint Louis Counseling, part of Catholic Charities St. Louis, seeks a mission-driven Credentialing Specialist to support clinicians by managing provider enrollment, credentialing, and recredentialing across payers.

The role is part-time, 20 hours per week, with pay starting at $25 per hour. You will ensure uninterrupted network participation, maintain accurate records, and collaborate with providers, billing, and compliance teams.

Qualifications

• High school diploma or equivalent required; associate's degree preferred.
• Minimum of 4 years of healthcare credentialing, provider enrollment, medical billing, or related experience preferred.
• Experience managing provider enrollment, credentialing, and recredentialing processes.
• Knowledge of Medicare, Medicaid, commercial insurance, and other third-party payer credentialing requirements.
• Experience using CAQH, NPPES, PECOS, and payer enrollment portals.
• Experience utilizing credentialing, provider enrollment, practice management, or related healthcare software.
• Familiarity with behavioral health, counseling, healthcare, or medical practice operations.

Responsibilities

• Coordinate provider enrollment, credentialing, recredentialing, and disenrollment activities for Medicare, Medicaid, commercial insurance payers, and other third-party reimbursement programs.
• Prepare, submit, and track credentialing, recredentialing, payer enrollment, demographic update, and provider maintenance applications through approval and implementation.
• Maintain accurate and complete provider records, credentialing files, and enrollment documentation within credentialing databases, payer portals, and other designated systems.
• Monitor and track the status of credentialing applications, payer enrollments, and provider participation to ensure timely completion and uninterrupted network participation.
• Monitor expiration and renewal dates for licenses, certifications, malpractice insurance, DEA registrations, and other required credentials, obtaining updated documentation as necessary.
• Research payer requirements, regulatory changes, and enrollment guidelines, communicating updates that may impact provider participation, reimbursement, or compliance.
• Collaborate with providers, payer representatives, billing staff, and internal stakeholders to resolve credentialing discrepancies, enrollment issues, and participation delays.
• Verify payer participation status, effective dates, and provider enrollment information to support accurate billing and reimbursement processes.
• Coordinate the addition of new providers, service locations, and provider changes with applicable payer networks.
• Prepare credentialing reports, enrollment status updates, and related data for leadership and operational stakeholders.
• Support internal audits, external reviews, accreditation activities, and compliance initiatives by maintaining complete, accurate, and audit-ready documentation.
• Perform other related duties as assigned.

Skills

Detail-oriented

Organized

Healthcare credentialing knowledge

Education

High school diploma or equivalent

Associate's degree preferred

Tools

CAQH

NPPES

PECOS

Payer enrollment portals

Job description

Saint Louis Counseling, part of Catholic Charities St. Louis, seeks a mission-driven Credentialing Specialist to support clinicians by managing provider enrollment, credentialing, and recredentialing across payers.

The role is part-time, 20 hours per week, with pay starting at $25 per hour. You will ensure uninterrupted network participation, maintain accurate records, and collaborate with providers, billing, and compliance teams.