Credentialing & Enrollment Specialist
About The Position
Open Mind Health is a growing virtual behavioral health organization providing psychiatry, therapy, and complementary care across multiple states. We operate with high accountability, precision, and ownership. Credentialing is foundational to our ability to serve clients and generate revenue. Enrollment alone is not enough — providers must be active, billable, and visible. If you thrive in structured environments where follow-through matters and timelines are real, you will do well here. The Credentialing & Enrollment Specialist owns provider enrollment workflows from onboarding through active payer participation. This role ensures providers are properly credentialed, compliant, billable, and accurately represented on payer directories. This is a deadline-driven, detail-intensive remote role that requires persistence and consistent follow-up with payers. Submission is not the finish line — verification is. You will be trusted — and your accuracy and tenacity will be visible.
Requirements
- Minimum 2 years hands-on credentialing or payer enrollment experience
- Direct experience with CAQH
- Experience working in payer portals
- Understanding of Medicare enrollment (PECOS)
- Experience resolving payer discrepancies
- Strong organizational skills
- Comfort working independently in a remote environment
- Private, distraction-free home workspace
- Reliable high-speed internet
- Full availability during scheduled work hours
Responsibilities
- Submit and track payer enrollment applications (Medicare, Medicaid, commercial plans)
- Maintain and attest CAQH profiles
- Manage PECOS and Medicare enrollment processes
- Follow up proactively with payers to prevent delays
- Manage recredentialing and revalidation cycles
- Maintain provider licenses, DEA, malpractice, and expirables
- Submit roster updates and demographic changes
- Ensure provider data is consistent across systems
- Actively confirm providers are visible and correctly listed on payer directories
- Escalate and resolve directory discrepancies until corrected
- Maintain credentialing trackers and enrollment timelines
- Communicate billable and visibility status clearly
Benefits
- PTO and paid holidays
- Health, dental, and vision benefits
- 401(k) plan
- $50/month technology stipe
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
