Remote Credentialing Specialist – Behavioral Health

Connections Health Solutions; Nashville (TN); Remote; USD 60,000 - 80,000; Full time

Benefits offered by this job

Health insurance

401k company match

Generous PTO

Parental leave

Flexible Spending Accounts

Job summary

Connections Health Solutions is seeking a Credentialing Coordinator to manage end-to-end credentialing, re-credentialing, and payer enrollment across our behavioral health providers and facilities. You’ll ensure timely, compliant files that support billing and authority delegation.

This fully remote role supports multiple states nationwide, with cross-functional collaboration and ongoing maintenance, including PSV, CAQH attestation, and multi-market licensing.

Qualifications

• Minimum 3 years credentialing or payer enrollment experience in a behavioral health environment.
• Familiarity with CAQH attestation processes and delegated credentialing requirements.
• Experience supporting multi-market or multi-state credentialing and enrollment operations.
• Bachelor's degree in health care administration or a related field is preferred.

Responsibilities

• Provider Onboarding & Data Entry
• Provider Communication
• Verbal Provider Support
• Provider Licensing Research
• Primary Source Verification (PSV)
• Malpractice & Insurance Coordination
• Payer Enrollment & Maintenance
• CAQH & Attestation Management
• Multi-State & Telehealth Licensing
• State-Specific Registration Processes
• BHS Staff Credentialing
• Facility Credentialing
• Offboarding
• Ongoing Maintenance & Recredentialing
• Delegation of Authority
• Cross-Functional Collaboration
• Committee Participation & Reporting
• Process Documentation
• Performs other duties and responsibilities as assigned to support organizational and departmental objectives.

Skills

Credentialing experience

Payer enrollment coordination

Multi-state credentialing

Attention to detail

Education

Bachelor's degree in health care administration or related field

Tools

CAQH

Attestation management

Payer enrollment systems

Job description

Connections Health Solutions is seeking a Credentialing Coordinator to manage end-to-end credentialing, re-credentialing, and payer enrollment across our behavioral health providers and facilities. You’ll ensure timely, compliant files that support billing and authority delegation.

This fully remote role supports multiple states nationwide, with cross-functional collaboration and ongoing maintenance, including PSV, CAQH attestation, and multi-market licensing.