Credentialing Specialist - Full-Time US Based Contractor Role

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TYPE OF WORK

Full Time

SALARY

$5/hour

HOURS PER WEEK

40

DATE UPDATED

Jul 10, 2026

JOB OVERVIEW

Position Type

-Full-time (40 hours/week)
-W-2 employee
-Fully remote (U.S.-based)
-Benefits available for eligible employees

Job Summary

Casey Mental Health Collaborative is seeking an experienced and highly organized Credentialing Specialist to oversee provider credentialing, recredentialing, payer enrollment, and provider maintenance across multiple commercial and government insurance plans.

This position plays a critical role in ensuring our psychiatrists, physician assistants, nurse practitioners, therapists, and other providers remain properly credentialed and enrolled with insurance payers so they can provide uninterrupted patient care.

The ideal candidate is exceptionally detail-oriented, proactive, organized, and comfortable independently managing numerous applications, deadlines, and follow-up tasks simultaneously.

Primary Responsibilities

-Prepare and submit initial credentialing and recredentialing applications with commercial insurance companies, Medicare, Medicaid, and other healthcare networks.
-Complete provider enrollment and payer contracting applications.
-Monitor application status and proactively communicate with insurance companies until credentialing and enrollment are complete.
-Maintain accurate provider files, including:
Professional licenses
DEA registrations
Board certifications
Malpractice insurance
NPI documentation
Collaborative agreements (when applicable)
Continuing education documentation
-Track expiration dates and coordinate renewals to prevent credentialing lapses.
-Maintain and attest CAQH profiles on a timely basis.
-Complete Medicare PECOS enrollment and maintenance.
-Complete Medicaid enrollment and maintenance as applicable.
-Maintain payer portal accounts and provider demographic information.
-Coordinate provider onboarding with administrative, billing, and leadership teams.
-Work closely with the billing department to resolve credentialing-related claim issues.
-Maintain detailed credentialing trackers and status reports.
-Respond promptly to provider, payer, and internal staff inquiries.
-Maintain compliance with organizational policies and federal, state, and payer credentialing requirements.
-Assist with special credentialing, contracting, and provider enrollment projects as assigned.

Required Qualifications

Experience

-Minimum of 2 years of healthcare credentialing or provider enrollment experience.
-Experience credentialing physicians, nurse practitioners, physician assistants, psychologists, therapists, or other licensed healthcare professionals.
-Experience working with Medicare, Medicaid, and commercial insurance plans.
-Experience using CAQH ProView required.

Preferred Qualifications

Experience with one or more of the following is strongly preferred:

-PECOS
-Availity
-NPPES
-NCTracks or other Medicaid enrollment portals
-Behavioral health credentialing
-Medical billing or revenue cycle operations
-Multi-state provider credentialing
-Provider contracting and payer enrollment

Required Skills

-Exceptional attention to detail
-Strong organizational and project management skills
-Ability to independently manage multiple deadlines
-Excellent written and verbal English communication
-Professional communication with insurance representatives and providers
-Strong documentation and record-keeping skills
-Ability to identify problems and proactively resolve them
-Proficiency with Microsoft Office and Google Workspace
-Comfortable learning new payer portals and credentialing software

Preferred Attributes

The ideal candidate is:
-Highly dependable
-Self-motivated
-Process-oriented
-Organized and efficient
-Calm under pressure
-Persistent with payer follow-up
-Able to work independently while collaborating effectively with a remote team
-Committed to accuracy and continuous improvement

Work Environment

-Fully remote position within the United States
-Standard full-time work schedule (40 hours/week)
-Primarily Monday through Friday
-Frequent communication via email, phone, video conferencing, and internal messaging platforms
-Close collaboration with leadership, providers, billing, and administrative teams

About Casey Mental Health Collaborative

Casey Mental Health Collaborative is a growing, physician-led outpatient behavioral health practice dedicated to providing exceptional psychiatric care throughout North Carolina. Our multidisciplinary team includes psychiatrists, physician assistants, nurse practitioners, therapists, and support professionals who work together to deliver compassionate, evidence-based care.

We value professionalism, teamwork, accountability, innovation, and continuous improvement, and we're looking for tea ---------- mbers who share those values and enjoy helping build efficient systems that support excellent patient care.

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