Credentialing & Enrollment Specialist

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🔥 1 minute ago

🌵 Arizona, Florida, +3 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🤠 Texas – Remote

💵 $17 - $20 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Open Mind Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

🧘 Wellness

📡 Telecommunications

⚕️ Healthcare Insurance

Wellness • Telecommunications • Healthcare Insurance

Open Mind Health is a mental telehealth service provider committed to offering compassionate, accessible, and personalized mental health care from the comfort of one's home. They create individualized and holistic treatment plans informed by clients' life journeys and backgrounds, working with a team of experienced providers. Open Mind Health offers various therapy options, including individual, couples, family, teen, and child therapy, as well as support for veterans and active-duty military personnel. Their approach aims to address not only presenting symptoms but also the root causes of mental health challenges, striving for long-term solutions and sustainable results. With a virtual platform, they ensure convenient access, confidentiality, and secure communication with licensed therapists and counselors. Open Mind Health is recognized for its innovative telecare services and commitment to mental wellness.

📋 Description

• Submit and track provider enrollment applications with commercial and government payers • Maintain and update CAQH profiles • Support Medicare enrollment and PECOS activities • Manage payer roster updates and demographic changes • Track provider licenses, DEA registrations, malpractice coverage, and other expirables • Follow up with payers regarding application status and outstanding requirements • Maintain credentialing trackers and documentation • Ensure provider information remains accurate across systems and payer portals • Support recredentialing, revalidation, and attestation activities • Verify provider participation and directory visibility when required • Escalate issues requiring additional review or intervention • Assist with process improvement and documentation efforts

🎯 Requirements

• Exceptional organizational skills and attention to detail • Strong written communication skills • Ability to manage multiple priorities simultaneously • Ability to follow processes consistently • Strong problem-solving and critical thinking skills • Comfort working independently in a remote environment • Reliable high-speed internet connection • Dedicated and distraction-free workspace • Full availability during scheduled work hours

🏖️ Benefits

• PTO and paid holidays • Medical, dental, and vision benefits • 401(k) • $50/month technology stipend • Remote work environment • Ongoing training and professional development opportunities