Contracting and Credentialing Specialist – Mental Health Care

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Catena

WebsiteLinkedInAll Job Openings

1 - 10 employees

👥 HR Tech

🏢 Enterprise

🎯 Recruiter

HR Tech • Enterprise • Recruitment

Catena, now known as Pearl Talent, is a company that specializes in helping organizations hire top remote talent from overseas, primarily focusing on candidates from the Philippines and Latin America. They offer a rigorous vetting process to ensure they provide highly capable candidates equipped with modern software skills and fluent English proficiency. Pearl Talent provides two main hiring services: Managed Services, which handles compliance, payroll, and training, and Direct Placement for companies that manage hires internally. They focus on long-term retention and quality in their hiring processes, aiming to build high-performing remote teams for a range of industries including healthcare, real estate, and finance.

📋 Description

• Own the full lifecycle of provider credentialing and payer contracting • Maintain credentialing files • Prepare and track credentialing and re-credentialing applications • Review and negotiate payer contracts • Resolve enrollment and contracting discrepancies • Provide limited support to billing tasks • Ensure providers stay fully credentialed and payer contracts remain compliant

🎯 Requirements

• 2+ years of experience in healthcare contracting, credentialing, or revenue cycle management • Hands-on experience preparing, submitting, and tracking credentialing and re-credentialing applications with insurance payers and networks • Working knowledge of insurance verification, payer enrollment, and provider data management • Experience reviewing, negotiating, and managing payer contracts, including tracking expirations and renewal timelines • Proficiency with credentialing software platforms and Microsoft Office • Familiarity with both payer-side and provider-side healthcare operations • C1+ English (CEFR) for payer communication and contract negotiation • Nice-to-Have • Experience in Applied Behavior Analysis (ABA) or behavioral health settings • Working knowledge of CAQH, NPI registry, and insurance payer portals • Exposure to medical billing or claims follow-up within a revenue cycle team • Track record of process improvement in credentialing or contracting workflows

🏖️ Benefits

• Competitive Salary: Based on experience and skills • Remote Work: Fully remote—work from anywhere • Team Incentives: Recognition for maintaining 100% CRM hygiene and on-time reporting • Generous PTO: In accordance with company policy • Health Coverage for PH-based talents: HMO coverage after 3 months for full-time employees • Direct Mentorship: Guidance from international industry experts • Learning & Development: Ongoing access to resources for professional growth • Global Networking: Connect with professionals worldwide