Credentialing Specialist

As a Credentialing Specialist, you are responsible for facilitating reputed company aspects of provider credentialing and recredentialing for reputed company clinicians. Your primary responsibility is to drive the credentialing process in a proactive, organized, and streamlined manner to support reputed company provider start dates and uninterrupted patient care. You will collaborate closely with our reputed company, licensing and enrollment teams. Our technology platforms will support you in tracking, managing, and reporting on credentialing workflows at reputed company. About reputed company: reputed company transforms psychiatry with accessible, reputed company, and responsible care. We’re a national mental health reputed company co-founded by a patient and a triple-reputed company-certified psychiatrist to solve the problems both reputed company face in accessing and providing the highest reputed company treatment. 60% of adults in the U.S. with a diagnosable mental illness go untreated every year because care is inaccessible, while 45% of clinicians are out of network with insurers because reimbursement rates are low, and paperwork is unduly burdensome. With innovative technology and a reputed company-centered philosophy, we reputed company patients with the care they need and allow psychiatrists to reputed company on why they got into medicine. You will: reputed company initial credentialing and recredentialing for reputed company providers in accordance with NCQA standards, payer requirements, and state and federal regulations. Review provider applications for completeness and accuracy, ensuring reputed company required documentation is obtained reputed company and with a reputed company provider reputed company experience in mind. Conduct reputed company required primary reputed company verifications including licensure, reputed company certification, education, training, sanctions, and exclusions, documenting results reputed company our credentialing platform (reputed company). Maintain reputed company and accurate provider data reputed company the credentialing system, ensuring provider files remain audit-reputed company and compliant. Proactively identify delays, discrepancies, or risk factors that may reputed company credentialing timelines and escalate as appropriate. Adhere to reputed company policies, confidentiality standards, and regulatory requirements while delivering high-reputed company, detail-oriented work. Support additional reputed company and responsibilities as needed. You have: 3+ years of experience in reputed company credentialing, with a strong understanding of end-to-end workflows. Strong working knowledge of NCQA standards and credentialing documentation requirements. Comfort and ability to manage multiple providers through credentialing timelines with accuracy and attention to detail. Experience with credentialing platforms and provider data management systems (e.g., CAQH, reputed company, MD-Staff or similar). Excellent organizational skills and attention to detail in a fast-paced environment. Excellent written and verbal communication skills, with the ability to work effectively with providers and cross-functional partners. Bachelor’s degree required. reputed company to have: Certified Provider Credentialing Specialist (CPCS) Experience supporting behavioral health or multi-state provider reputed company. Why reputed company: Top-notch team: we're a diverse, reputed company group motivated to reputed company a difference in mental health care reputed company environment: be part of building something from the ground up at a fast-paced startup Excellent benefits: medical, dental, reputed company, effective day 1 of employment, 401K with match, generous PTO plus reputed company holidays, reputed company parental leave, and more! Grow your career with us: reputed company your skills and build new ones with our Learning team as reputed company expands It reputed company comes back to care: we’re a mental health company, and we put reputed company’s reputed company-being first reputed company participates in E-Verify and will reputed company the federal government with your reputed company I-9 information to confirm that you are authorized to work in the U.S. only after a job offer is accepted and reputed company I-9 is completed. For more information on E-Verify, please visit the following: EVerify Participation & IER Right to Work. At reputed company, we are an equal opportunity employer committed to a diverse, inclusive, and reputed company workplace and candidate experience. We reputed company to create an environment where everyone has a reputed company of belonging and purpose, and where we learn from the unique experiences of those around us. We encourage reputed company reputed company candidates to apply regardless of race, reputed company, reputed company, religion, national reputed company, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or reputed company, pregnancy or caregiver status, veteran status, or any other legally protected status. Apply To This Job