Credentialing Specialist

Behavioral Innovations • Addison, TX

1d • Onsite

About The Position

We are seeking a Credentialing Specialist to oversee the full credentialing and enrollment process for our providers in Behavioral Healthcare. This role ensures clinicians are accurately enrolled with commercial and government payors so services can be reimbursed on time. Responsibilities include maintaining and auditing provider records, processing enrollment and revalidation applications, and conducting consistent follow-up with payors. This position partners closely with revenue cycle, clinical leadership, HR recruitment, and providers to support smooth onboarding and resolve credentialing issues. The role also manages provider contracting, ensures HIPAA and regulatory compliance, assists with out-of-state Medicaid enrollments, and responds to provider inquiries within 24 hours. Your work directly strengthens operational efficiency, reimbursement accuracy, and timely access to care.

Requirements

• Associates degree and three (3) years relevant experience in credentialing or related work experience may be substituted in lieu of educational qualifications.
• Strong communication and interpersonal skills to collaborate with internal teams and external payors.
• Take the initiative to identify and resolve issues
• Excellent organizational, problem-solving, and follow-up skills.
• Proficiency in Microsoft Word and Excel.

Nice To Haves

• 1-3 years of knowledge in a behavioral health or medical clinic setting preferred, but not necessary.
• Experience in provider enrollment, credentialing, or revenue cycle management (preferred).
• Familiarity with Electronic Medical Records (EMR) and billing systems.

Responsibilities

• Maintaining and auditing provider records
• Processing enrollment and revalidation applications
• Conducting consistent follow-up with payors
• Partnering closely with revenue cycle, clinical leadership, HR recruitment, and providers to support smooth onboarding and resolve credentialing issues
• Managing provider contracting
• Ensuring HIPAA and regulatory compliance
• Assisting with out-of-state Medicaid enrollments
• Responding to provider inquiries within 24 hours

Benefits

• 10 days PTO, 7 paid holidays.
• Medical, Vision, Dental, and Supplemental Insurance Policies.
• Tools and programs to support physical, mental, and emotional wellness.
• Employee Assistance Program (EAP): Comprehensive support.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree