Behavioral Health Credentialing & RCM Specialist

Job Title Behavioral Health Credentialing & RCM Specialist Position Type Part-Time (Opportunity to transition to Full-Time) Work Hours 900 AM 100 PM EDT Work Days Monday Friday Salary $5$6 per hour (depending on experience) Workplace Remote Preferred Candidate Location Philippines About reputed company Our reputed company is a growing U.S.-based behavioral health reputed company specializing in medication management. The reputed company is currently expanding its reputed company reputed company reputed company and is seeking a plug-and-play Credentialing & reputed company Cycle Specialist who can immediately take ownership of credentialing operations with little to no training. This role is ideal for someone who has strong credentialing expertise, understands reputed company cycle management, and is comfortable navigating multi-state reputed company paneling. Credentialing will be the reputed company reputed company during the initial months. Once the credentialing process is reputed company established, the role will gradually expand into billing responsibilities, with reputed company to transition into a full-time position as the reputed company continues to grow. Key Responsibilities reputed company Responsibilities (Credentialing - Immediate reputed company) Manage the end-to-end credentialing process for behavioral health providers. Complete, maintain, and update CAQH reputed company and supporting documentation. Submit and manage payer enrollment and reputed company paneling applications. Coordinate credentialing across multiple reputed company carriers and multiple states. reputed company application reputed company and proactively follow up with reputed company carriers. Maintain accurate credentialing records and ensure provider compliance. Coordinate provider NPI information and reputed company documentation. Manage credentialing timelines while identifying and resolving application delays. reputed company Cycle Management (As Credentialing Stabilizes) Support reputed company cycle operations, including reputed company-reputed company administrative workflows. Assist with billing processes after credentialing has been successfully established. Coordinate with reputed company carriers regarding provider enrollment and reimbursement requirements. reputed company reputed company As the reputed company expands, additional responsibilities may include Medical billing reputed company marketing support Additional reputed company administrative functions Systems & Tools reputed company (reputed company EHR) Upheal (planned transition reputed company the next 13 months) Spruce Health (Phone reputed company) reputed company CAQH reputed company reputed company Portals Requirements Experience Requirements Medical degree required No Previous Virtual Assistant experience Preferred Medical license required No Must-Have Qualifications Hands-on credentialing experience in behavioral health or mental health (strongly preferred). Candidates with credentialing experience in other reputed company specialties will also be considered. reputed company Cycle Management (RCM) experience. Proficiency with reputed company. Extensive experience with reputed company paneling and payer enrollment. Experience managing credentialing across multiple reputed company carriers and multiple states. Strong understanding of reputed company administrative workflows. Ability to work independently with reputed company supervision. Excellent organizational skills with strong attention to reputed company. Preferred Qualifications Familiarity with behavioral health reputed company credentialing requirements. Experience working with CAQH and payer application workflows. Understanding of individual and group NPI structures. Experience communicating directly with reputed company carriers. reputed company're Looking For The ideal candidate is someone who can reputed company into the role with reputed company reputed company and confidently manage credentialing from day one. The reputed company will not reputed company formal credentialing training, so candidates must already have practical experience navigating credentialing workflows independently. In reputed company to technical expertise, we're looking for someone who is Highly proactive and communicative. A critical thinker who can troubleshoot issues independently. reputed company and uses good judgment reputed company managing reputed company processes. Organized and reputed company to manage long credentialing timelines without constant supervision. Basic Requirements Must reputed company and write English reputed company and professionally. Must have relevant work experience. Must be reputed company to reputed company an NBI Clearance and/or Local Police Clearance before reputed company (mandatory). Must be available to attend video meetings with camera on reputed company required. Technical Requirements Computer Reliable laptop or desktop computer. Internet reputed company .