Remote Credentialing Lead (Healthcare)

BetterHelp; Mountain View (CA); À distance; USD 41 000 - 51 000; Plein temps

Avantages offerts par ce poste

Remote work with bonding experiences

Competitive compensation

Holistic perks program (including free

Excellent health, dental, and vision

401k with employer matching

Hardware/software to boost happiness

Supportive co-workers

Résumé du poste

BetterHelp is seeking a Credentialing Specialist to lead the credentialing associate team, train staff, and document all insurance credentialing workflows. You will implement new processes, monitor performance, and collaborate with TekSystems as needed.

The role can be performed remotely across the U.S. with expectations to maintain timely credentialing and provide guidance to other teams. Prior experience in healthcare credentialing, NCQA standards, and behavioral health is preferred.

Qualifications

• 1+ years of experience in healthcare credentialing, operations, or administrative support in a payer or provider setting.
• Strong understanding of NCQA credentialing requirements and best practices.
• Proficiency with Microsoft Excel/Google Sheets and experience with CRM or credentialing software (e.g., CAQH, Verifable).
• Excellent organizational and communication skills, with the ability to manage multiple tasks and deadlines.
• Experience in behavioral health or mental health provider credentialing.

Responsabilités

• Supervision of the credentialing associate team.
• Training of the credentialing associate team.
• Documentation of all BetterHelp Insurance Credentialing processes; analyze and update processes to improve as needed.
• Provide day-to-day guidance, training, and support to credentialing associates and internal BetterHelp team.
• Identify and problem solve inefficiencies in credentialing and recredentialing processes.
• Develop and maintain the credentialing team’s relationship with other BetterHelp Teams.
• Track application statuses, credentialing deadlines, and recredentialing timelines to ensure timely completion; analyze and update processes to improve timelines.
• Maintain accurate and up-to-date provider information in internal databases and Verifiable.
• Liaise with CVO to resolve any issues or delays in the credentialing process.
• Provide regular updates to leadership on key metrics and process improvements.

Connaissances

Healthcare credentialing

NCQA standards

Excel/Sheets

CRM/credentialing software

Organizational skills

Behavioral health credentialing

Outils

CAQH

Verifable

Description du poste

BetterHelp is seeking a Credentialing Specialist to lead the credentialing associate team, train staff, and document all insurance credentialing workflows. You will implement new processes, monitor performance, and collaborate with TekSystems as needed.

The role can be performed remotely across the U.S. with expectations to maintain timely credentialing and provide guidance to other teams. Prior experience in healthcare credentialing, NCQA standards, and behavioral health is preferred.