Remote Behavioral Health Credentialing Specialist

The Mindful Lemon, Inc.; United States; On-site; USD 28,000 - 34,000; Full time

Benefits offered by this job

PTO

Employer sponsored health plan

401K with match

Employee Assistance Program

Dental and Vision Insurance

Employer sponsored life insurance

Fully remote

Job summary

The Mindful Lemon, Inc. is seeking a dedicated Behavioral Health Credentialing Specialist to join our fully remote team. You will manage credentialing and contracting for behavioral health providers, maintain CAQH profiles, and ensure timely approvals and compliance across contracts.

Requirements include at least 1 year of credentialing/contracting experience in behavioral health; Spanish speaking a plus. The role offers 40 hours/week, PST hours, and a growth-oriented environment.

Qualifications

• Must have 1 year experience with Credentialing and Contracting for Behavioral Health.
• Spanish speaking a plus.
• Fully remote work setup.

Responsibilities

• Monitor/Maintain the credentialing and contracting boards
• Get acquainted with internal systems for tracking and managing provider information
• Monitor the credentialing email
• Receive onboarding paperwork from new providers
• Review Documentation to make sure everything has been received
• Reach out to new providers if we are missing any required documentation
• Verify provider credentials, licenses, and certifications
• Update and maintain CAQH profiles for new providers
• Re-attest existing profiles as necessary
• Complete applications for new providers to join our group contracts
• Recredentialing Applications
• Manage provider COIs (Certificates of Insurance) and licenses to ensure they are up-to-date.
• Application Follow-Up: Monitor individual and group applications to ensure timely approval
• Make weekly follow up calls/emails to get application status
• Submit, manage, and follow up on out-of-state applications.
• Address issues related to our contracts regarding denied claims

Skills

Credentialing

Contracting

Spanish language

Tools

CAQH

Provider management systems

Job description

The Mindful Lemon, Inc. is seeking a dedicated Behavioral Health Credentialing Specialist to join our fully remote team. You will manage credentialing and contracting for behavioral health providers, maintain CAQH profiles, and ensure timely approvals and compliance across contracts.

Requirements include at least 1 year of credentialing/contracting experience in behavioral health; Spanish speaking a plus. The role offers 40 hours/week, PST hours, and a growth-oriented environment.