Credentialing Specialist

Credentialing Specialist

Have you ever wanted to play a behind-the-scenes role that directly keeps a healthcare practice running smoothly without ever stepping foot in a traditional office? At Insight Therapy Solutions, we are scaling up our behavioral health services and need a sharp, detail-obsessed Credentialing Specialist to join our remote team. This is a fully remote position open to candidates worldwide. If you love untangling payer guidelines, keeping paperwork meticulously organized, and supporting clinicians so they can focus entirely on patient care, this might just be your next big career move.

Overview

Insight Therapy Solutions provides top-tier behavioral healthcare, including therapy, psychiatric services, and TMS treatments across multiple states. As our network of providers expands, keeping everyone properly credentialed and contracted is vital. You will take charge of the entire credentialing lifecycle, protecting our revenue cycle and ensuring zero gaps in patient care.

Key Responsibilities

  • Manage initial credentialing and re-credentialing applications for our growing roster of behavioral health providers across various insurance networks.
  • Maintain and update provider profiles in CAQH, NPPES, PECOS, and relevant payer portals with extreme accuracy.
  • Coordinate seamlessly with clinical operations, billing, and onboarding teams to resolve credentialing bottlenecks quickly.
  • Track expiration dates for medical licenses, malpractice insurance, DEA certificates, and other vital credentials.
  • Communicate proactively with insurance companies to check status updates and resolve delayed applications.

Requirements

  • Proven experience working in healthcare credentialing, provider enrollment, or a closely related administrative role.
  • Deep familiarity with commercial insurance payers, Medicare, Medicaid, and provider databases like CAQH.
  • Exceptional organizational skills with a keen eye for detail and a talent for following complex processes through to completion.
  • Strong written and verbal communication abilities for interacting with payers and internal team members.
  • Reliable high speed internet access and a quiet home office setup to handle sensitive data securely.

What You'll Gain

  • Competitive compensation package paired with genuine respect for work life balance.
  • Paid time off to recharge whenever you need it.
  • Paid U.S. holidays so you can celebrate right alongside your peers.
  • Paid birthday leave because your special day should be spent doing what you love.

How to Apply

Click the apply button below to view the full job details and submit your application directly through the employer's official page.

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