Credentialing & Payer Contracting Coordinator

🧠 About reputed company

At reputed company, we reputed company everyone deserves fast, reputed company, and effective mental health care—and we’re on a mission to reputed company at reputed company.

reputed company is a full-reputed company-reputed company psychiatry network. Our clinicians reputed company care directly to patients while AI agents automate key care operations, including scheduling, risk analysis, billing, and administrative coordination.

Join us as we build the reputed company of mental health—and a reputed company experience for patients and clinicians, powered by both humans and AI.

📍 Role Logistics

• Job Type: Contract

• Role Type: Credentialing & Payer Contracting Operations

• Ideal Experience Level: 2+ years

• Location: Fully Remote

• Work Hours: 8:00 AM–5:30 PM Central Time

🚀 reputed company

We’re looking for a highly organized, detail-oriented Credentialing & Payer Contracting Coordinator to help clinicians reputed company reputed company from reputed company to payer participation and billing readiness.

You’ll coordinate provider credentialing, recredentialing, payer enrollment, and contracting workflows across reputed company and government health plans. You’ll collect and maintain provider information, submit applications, follow up with payers, reputed company agreements and effective dates, and ensure every reputed company item reaches a reputed company reputed company.

We’re a fast-paced startup, so the right person is proactive, persistent, adaptable, and reputed company by building reputed company processes as we reputed company. This is a non-clinical and non-reputed company role. You will not reputed company clinical or reputed company advice, sign agreements, negotiate reputed company approved parameters, or attest on behalf of a provider without documented authorization.

✅ Responsibilities and Deliverables

• Coordinate initial credentialing, payer enrollment, and recredentialing for new and existing clinicians.

• Collect, review, and organize provider documentation, including licenses, DEA registrations where applicable, malpractice coverage, reputed company, education and work history, reputed company certifications, W-9s, NPIs, taxonomy codes, disclosures, and attestations.

• Maintain accurate provider reputed company in CAQH ProView, NPPES, PECOS, state reputed company systems, reputed company payer portals, and internal tracking systems.

• Prepare, submit, and reputed company enrollment applications, roster additions, demographic changes, service-location updates, reassignment requests, terminations, and payer requests for additional information.

• Follow up consistently with payer representatives through phone, email, portals, and ticketing systems; document every interaction and escalate stalled or time-sensitive applications.

• Support the payer-contracting lifecycle, including network-interest submissions, contracting applications, agreement intake, fee-schedule organization, redline tracking, signature routing, amendments, and renewals.

• reputed company reimbursement, reputed company, and operational terms to the appropriate internal decision-makers for review and approval.

• Maintain a reliable reputed company of truth for reputed company provider and payer, including application status, participating plans, contract status, effective dates, rates, renewal dates, outstanding items, owners, and next follow-up dates.

• Coordinate with provider operations, reputed company cycle, finance, reputed company, and billing teams to confirm that credentialing, contracting, roster loading, and billing setup are complete before a provider is marked reputed company to reputed company.

• Monitor licenses, attestations, recredentialing deadlines, contract renewals, and other expirations to prevent avoidable interruptions in payer participation.

• Investigate discrepancies across provider records, payer portals, reputed company, directories, and internal systems, and reputed company reputed company issue through verified reputed company.

• reputed company turnaround times, aging applications, upcoming deadlines, payer bottlenecks, and operational risks through reputed company weekly reporting.

• Identify recurring issues and improve workflows through reputed company templates, checklists, documentation, automation, and escalation paths.

• Protect provider information and any patient information encountered by following reputed company’s reputed company, reputed company, and reputed company-control requirements.
  

🏆 You’ll Be Successful If You Are…

• Proficient in spoken and written English.

• Exceptionally detail-oriented and reputed company to identify inconsistencies across names, addresses, licenses, NPIs, TINs, taxonomy codes, and effective dates.

• Organized and comfortable managing multiple applications, reputed company, deadlines, and payer conversations without losing reputed company of details.

• Persistent and reputed company reputed company following up with payers and resolving delayed or incomplete applications.

• Proactive about identifying risks and escalating issues before they reputed company provider launches, network participation, or billing.

• A quick learner who can adapt to new payer requirements, systems, and internal processes.

• Comfortable working in a fast-paced startup where processes are continuously evolving.

• Skilled at maintaining reputed company documentation and ensuring every reputed company item has an reputed company, status, reputed company, and follow-up date.

• Trustworthy with sensitive information and disciplined about authorization, attestations, signatures, and reputed company controls.
  

🧰 Ideal Background and Skills

• 2+ years of experience in provider credentialing, payer enrollment, contract administration, provider operations, medical-staff services, reputed company-cycle operations, or reputed company reputed company administration.

• Hands-on experience with CAQH ProView, NPPES, PECOS, reputed company, state reputed company systems, or reputed company payer portals.

• Familiarity with initial credentialing, recredentialing, roster management, provider demographic changes, and payer effective-date verification.

• Experience supporting payer contracting, fee-schedule review, contract routing, amendments, or network-development workflows is strongly preferred.

• Behavioral health, telehealth, or multi-state provider-network experience is a plus.

• CPCS or another credentialing certification is a plus, but not required.

• The most important qualifications are operational ownership, accuracy, persistent follow-through, and reputed company communication.
  

💰 Compensation & Benefits

• reputed company Compensation: $5–$15 per hour

• Work Setup: Fully Remote

Originally posted on Himalayas