Remote Credentialing & Payor Enrollment Specialist

Brave Health; Tallahassee (FL); Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Comprehensive health, dental, and eye

Generous paid time off, includingPar­-

Fully remote

Job summary

Brave Health is a remote-first healthcare company focused on expanding access to mental health services in the United States. The Payor Enrollment & Credentialing Specialist will manage provider enrollment, verification, and onboarding with Medicaid, Medicare, and private payers, coordinating with HR and operations to ensure seamless start dates.

We are a startup-friendly organization that values process improvements, scalability, and innovative tools to streamline credentialing workflows and

Qualifications

• Minimum of three years of relevant credentialing/payor enrollment experience.
• Strong knowledge of Medicaid, Medicare, and private payer insurance systems.
• Remote work experience is strongly preferred.

Responsibilities

• Compile and maintain current and accurate data for all clinical providers.
• Manage credentialing documentation within databases, ensuring timely enrollment and re-credentialing.
• Perform primary source verification during initial credentialing and re-credentialing.
• Maintain copies of enrollment forms, applications, and other required documentation.
• Oversee and maintain payor enrollment delegation rosters, including updates for new hires and providers no longer employed by Brave Health.
• Partner with HR to ensure new providers are fully enrolled in health plans before their start date.
• Assist new hires with Medicaid and Medicare applications, including reassigning Medicare benefits to Brave Health.
• Serve as a resource for new hires, addressing questions related to payor enrollment and credentialing processes.
• Ensure the submission of current credentialing documentation during onboarding for primary source verification.
• Collaborate with vendors to support payor enrollment processes.
• Research new payor enrollment opportunities to enhance network participation.
• Drive process and tool improvements, adapting to the growth and evolving needs of the organization.

Job description

Brave Health is a remote-first healthcare company focused on expanding access to mental health services in the United States. The Payor Enrollment & Credentialing Specialist will manage provider enrollment, verification, and onboarding with Medicaid, Medicare, and private payers, coordinating with HR and operations to ensure seamless start dates.

We are a startup-friendly organization that values process improvements, scalability, and innovative tools to streamline credentialing workflows and