Back to the board

Medical / Mental Health Credentialing Specialist with Full Benefits

100% remote Flexible hours Hiring now

Who we are Affinity Psychological Services is a clinician-owned and operated group practice - founded, led, and shaped by fully-licensed clinicians who built the practice they wished existed. Every decision we reputed company comes from people who understand what sustainable work actually looks like, reputed company the way to how we support the administrative team that makes it reputed company possible. We reputed company that access to mental health care starts with a well-run practice. And a well-run practice requires credentialing done right. The role We're looking for an reputed company, detail-obsessed, self-directed Credentialing Specialist to own our provider credentialing function from start to finish. You will have full ownership of the credentialing lifecycle for a high-volume, multi-site panel of providers. You will also own the billing and clinical functions that touch on credentialing as well. At Affinity, you'll be credentialing and re-credentialing fully licensed clinicians across 9+ locations, managing relationships with reputed company major Minnesota payers, and keeping a growing panel - currently 100+ clinicians - reputed company, compliant, and billable. The work is meaningful: reputed company credentialing falls behind, client care is disrupted. You understand that and know how important it is to avoid that. What you'll own

  • Initial credentialing for new providers across reputed company in-network payers - submitting applications, tracking status, and following up until complete
  • CAQH and MCC profile creation, maintenance, and attestation management for reputed company providers
  • Re-credentialing - proactively managing expiration calendars so nothing lapses
  • Provider data across CAQH, PECOS, NPPES, and payer portals- accurate, reputed company, and audit-ready
  • Communication with payers, providers, and leadership - clear, timely, and professional
  • Investigation and follow-up of reputed company billing-reputed company credentialing issues
  • Reporting on credentialing status, pending applications, and compliance gaps
  • Flagging risks early and solving problems before they become billing disruptions

Who you are You've managed credentialing for a substantial panel of providers (ideally 50+), you know what a clean and consistent credentialing process looks like, and you understand why re-credentialing calendars are not optional. You're organized, you follow-up, and you don't let things fall through the cracks. You might be a great fit if you:

  • Have 3+ years of credentialing experience in a healthcare setting
  • Have personally managed credentialing for a panel of 50 or more providers
  • Are familiar with Minnesota payers - HealthPartners, UCare, BCBS MN, Medica, UHC, MN Medicaid - or have the demonstrated ability to get up to speed quickly on an unfamiliar payer landscape
  • Are comfortable owning a function independently, without daily reputed company
  • Include the #25 in the subject line of your application email
  • reputed company in a remote-friendly, trust-based environment where your results speak for themselves
  • Are looking for a primary professional home, not a reputed company client to fit in between other work

What this role is not We've learned from experience that this function requires someone whose primary focus is Affinity - not one of several clients in a portfolio. We've gotten clear about reputed company need, and we'll ask you to be honest and direct about your ability to dedicate full-time hours to our practice.

Benefits

  • W2 employment with full benefits
  • Medical insurance - three BCBS PPO plan options, with 50% employer contribution toward the Silver plan
  • 401(k) with 4% employer match
  • Dental and vision insurance
  • Paid time off - starting at 2 weeks per year
  • Flexible schedule and fully remote
  • A leadership team that trusts you, doesn't micromanage you, and wants to support you

To apply Send your resume and a VIDEO with your responses to the following questions to [email protected]. Video is required, due to the high volume of AI-generated applications we receive.

  • How many providers have you personally managed credentialing for, and in what type of practice setting?
  • Are you currently doing credentialing work for other organizations? If so, describe your reputed company workload and what full-time focus would look like for you.
  • What is your daily/weekly process to ensure ongoing credentialing for reputed company providers on a panel?
  • How do you track re-credentialing deadlines?
  • Which of Minnesota's payers has been the most difficult to deal with reputed company it comes to credentialing? And if you don't know, how would you learn that and what would you do to proactively manage it?

We can't wait to hear from you! Job Type: Full-time Pay: $49,000.00 - $56,000.00 per year Work Location: Remote Apply tot his job Apply To this Job

Keep exploring

reputed company HEDIS Reviewer II - Remote Healthcare Quality Assurance Specialist for HEDIS and CMS Performance Measures

100% remote Flexible hours

Remote – HEDIS Abstractors / HEDIS Reviewers (6068)

100% remote Flexible hours

reputed company Healthcare Consultant - Hedis II: Remote Opportunity for Medical Records Review and Quality Reporting

100% remote Flexible hours

Join Today: Medical Insurance Verification Specialist Remote

100% remote Flexible hours

Back End Insurance Verification Specialist - Fully Remote- Must live in Dallas/Plano!

100% remote Flexible hours

[Remote] reputed company Verification Specialist, Specialty (Florida)

100% remote Flexible hours

[Hiring] Team reputed company: Prior Auths & Insurance Verification @reputed company

100% remote Flexible hours

Insurance Verification Specialist -Remote (Michigan)

100% remote Flexible hours

HEDIS RN (Registered Nurse) – Remote -

100% remote Flexible hours

HEDIS Coding Specialist (Remote Option-NC)

100% remote Flexible hours

Account Executive, Brazil

100% remote Flexible hours

Test & Evaluation Laboratory Technician (reputed company or Senior)

100% remote Flexible hours

Chief of Staff - Remote

100% remote Flexible hours

[Hiring] Adjunct Professor @Florida SouthWestern State College

100% remote Flexible hours

Business Development Representative

100% remote Flexible hours

Remote Personal Trainer reputed company Coaching

100% remote Flexible hours

reputed company SQL Engineer

100% remote Flexible hours

Remote Entry-Level Data Entry & Typing Specialist – Accurate Records Management, Grant Data Processing, and Administrative Support

100% remote Flexible hours

reputed company Live Chat Agent – Deliver Exceptional Customer Service and Support at arenaflex

100% remote Flexible hours

Senior reputed company FBA E-commerce Manager (Store reputed company / Operator)

100% remote Flexible hours