Credentialing & Enrollment Specialist at Open Mind Health | Torre

Credentialing & Enrollment Specialist

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Full-time

Legal agreement: Employment

Compensation
USD17 - 20/hour
location_on
Remote (for United States residents)
Shared by
Paulina Romero Moreno
4 months ago

Responsibilities


About Open Mind HealthOpen Mind Health is a growing virtual behavioral health organization providing psychiatry, therapy, and complementary care across multiple states. Our providers cannot generate revenue, accept referrals, or serve clients until credentialing and enrollment activities are completed accurately and on time.About the RoleThe Credentialing & Enrollment Specialist supports provider onboarding, credentialing, enrollment, roster management, and payer participation activities. You will work closely with recruiting, operations, and provider onboarding teams to ensure clinicians move efficiently from hiring to active participation with health plans.Key ResponsibilitiesSubmit and track provider enrollment applications with commercial and government payersMaintain and update CAQH profilesSupport Medicare enrollment and PECOS activitiesManage payer roster updates and demographic changesTrack provider licenses, DEA registrations, malpractice coverage, and other expirablesFollow up with payers regarding application status and outstanding requirementsMaintain credentialing trackers and documentationEnsure provider information remains accurate across systems and payer portalsSupport recredentialing, revalidation, and attestation activitiesVerify provider participation and directory visibility when requiredEscalate issues requiring additional review or interventionAssist with process improvement and documentation effortsWhat Success Looks LikeApplications submitted accurately and on timeCredentialing trackers maintained consistentlyNo preventable expirations or missed deadlinesStrong follow-through on outstanding payer requestsClear documentation of application status and next stepsTimely communication regarding barriers and delaysContinuous learning and increasing independence within the roleQualificationsCredentialing, provider enrollment, healthcare operations, medical office administration, payer relations, revenue cycle, or related experienceExperience with CAQH, PECOS, or payer portalsExperience working with healthcare providers or healthcare organizationsRequired: Exceptional organizational skills and attention to detailRequired: Strong written communication skillsRequired: Ability to manage multiple priorities simultaneouslyRequired: Ability to follow processes consistentlyRequired: Strong problem-solving and critical thinking skillsRequired: Comfort working independently in a remote environmentRequired: Reliable high-speed internet connectionRequired: Dedicated and distraction-free workspaceRequired: Full availability during scheduled work hoursCompensation & Benefits$17–$20/hour depending on experiencePTO and paid holidaysMedical, dental, and vision benefits401(k)$50/month technology stipendRemote work environmentOngoing training and professional development opportunities