Contracting and Credentialing Associate

Job not on LinkedIn

🔥 23 hours ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Autism Diagnosis Group

WebsiteLinkedInAll Job Openings

2 - 10 employees

👥 B2C

B2C

Autism Diagnosis Group is a clinical service provider that delivers professional autism evaluations and diagnostic services for both pediatric and adult patients, now operating as Josi Health. They offer rapid, accessible telehealth-friendly assessments (including at-home evaluations), accept major insurance plans and provide self-pay options, and include care concierge, detailed reports, and follow-up debriefs to support patients and families across most U. S. states.

📋 Description

• Manage end-to-end credentialing and re-credentialing processes for Clinical Psychologists (PsyD/PhD), therapists (LCSWs, LPCs, LMHCs) and other remote clinical providers • Maintain and audit all provider profiles in CAQH, ensuring information is current, attested, and fully compliant • Perform primary source verifications of provider licenses, certifications, education, and malpractice insurance history • Maintain secure, centralized physical and digital provider credentialing files, fee schedules, and databases • Prepare, submit, and track provider enrollment applications with payers • Compile and distribute monthly provider rosters to active insurance plans to ensure payer directories remain accurate • Identify and resolve provider-level NPI, taxonomy, or enrollment errors that cause clearinghouse or payer-level claim rejections • Actively track credentialing cycle times and report on application statuses across our active expansion pipeline • Monitor contracting pipelines, ensuring group contract addendums and provider agreements are executed correctly • Support the operations team by gathering data and preparing applications to challenge commercial panel closures (network adequacy appeals) • Regularly audit payer directories to ensure Josi Health providers are visible and active • Monitor licensure and certification expiration dates (e.g., state medical licenses, DEA, malpractice) and send timely renewal alerts to providers • Collaborate closely with recruiting and clinical teams to coordinate the onboarding schedule of incoming providers • Adhere strictly to NCQA standards, URAC guidelines, and HIPAA regulations regarding data security and privacy • Provide clear, professional updates to providers on their credentialing status, making document retrieval as painless as possible

🎯 Requirements

• 2+ years of healthcare experience specializing in provider credentialing, payer enrollment, or provider relations • Highly proficient with CAQH • Working knowledge of medical licensing structures (e.g., PsyPact), NPI registries (NPPES), and primary source verification standards • Obsessive attention to detail – a missed box or expired license can disrupt operations; you double-check everything • Excellent written and verbal English communication skills; comfortable reaching out to busy providers and navigating complex payer customer service lines • Strong spreadsheet skills (Excel/Google Sheets) for tracking active pipelines and provider cohorts • Reliable remote work setup with backup power and high-speed internet (aligned with EST hours)

🏖️ Benefits

• Fully remote – work from anywhere outside the US • Competitive monthly compensation in USD • Direct ownership of a vital operational pipeline in a fast-scaling startup • Support from a collaborative, tech-forward administrative team