Credentialing Specialist

Talkiatry

About The Position

As a Credentialing Specialist, you are responsible for facilitating all aspects of provider credentialing and recredentialing for Talkiatry clinicians. Your primary responsibility is to drive the credentialing process in a proactive, organized, and streamlined manner to support timely provider start dates and uninterrupted patient care. You will collaborate closely with our talent acquisition, licensing and enrollment teams. Our technology platforms will support you in tracking, managing, and reporting on credentialing workflows at scale. About Talkiatry: Talkiatry transforms psychiatry with accessible, human, and responsible care. We’re a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality 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 human-centered philosophy, we provide patients with the care they need and allow psychiatrists to focus on why they got into medicine.

Requirements

3+ years of experience in healthcare 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, Verifiable, 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.

Nice To Haves

Certified Provider Credentialing Specialist (CPCS)
Experience supporting behavioral health or multi-state provider groups.

Responsibilities

Perform initial credentialing and recredentialing for Talkiatry providers in accordance with NCQA standards, payer requirements, and state and federal regulations.
Review provider applications for completeness and accuracy, ensuring all required documentation is obtained efficiently and with a positive provider onboarding experience in mind.
Conduct all required primary source verifications including licensure, board certification, education, training, sanctions, and exclusions, documenting results within our credentialing platform (Verifiable).
Maintain timely and accurate provider data within the credentialing system, ensuring provider files remain audit-ready and compliant.
Proactively identify delays, discrepancies, or risk factors that may impact credentialing timelines and escalate as appropriate.
Adhere to Talkiatry policies, confidentiality standards, and regulatory requirements while delivering high-quality, detail-oriented work.
Support additional projects and responsibilities as needed.