Behavioral Health Credentialing, RCM Specialist

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Winning Assistants LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

📣 Marketing

📦 Logistics

Consulting • Marketing • Logistics

Winning Assistants LLC is a staffing and recruiting company that provides virtual assistants from the top 1% of the global talent pool. They specialize in helping doctors, healthcare professionals, and business owners save time, reduce costs, and scale operations with highly skilled, HIPAA-compliant virtual assistants. Their services include admin support, medical office management, marketing, and customer service, allowing clients to focus on growth.

📋 Description

• Manage the end-to-end credentialing process for behavioral health providers. • Complete, maintain, and update CAQH profiles and supporting documentation. • Submit and manage payer enrollment and insurance paneling applications. • Coordinate credentialing across multiple insurance carriers and multiple states. • Track application progress and proactively follow up with insurance carriers. • Maintain accurate credentialing records and ensure provider compliance. • Coordinate provider NPI information and insurance documentation. • Manage credentialing timelines while identifying and resolving application delays. • Support revenue cycle operations, including insurance-related administrative workflows. • Assist with billing processes after credentialing has been successfully established. • Coordinate with insurance carriers regarding provider enrollment and reimbursement requirements. • As the practice expands, additional responsibilities may include medical billing, practice marketing support, and additional healthcare administrative functions.

🎯 Requirements

• Medical degree required: No • Previous Virtual Assistant experience: Preferred • Medical license required: No • Hands-on credentialing experience in behavioral health or mental health (strongly preferred). • Candidates with credentialing experience in other healthcare specialties will also be considered. • Revenue Cycle Management (RCM) experience. • Proficiency with Availity. • Extensive experience with insurance paneling and payer enrollment. • Experience managing credentialing across multiple insurance carriers and multiple states. • Strong understanding of healthcare administrative workflows. • Ability to work independently with minimal supervision. • Excellent organizational skills with strong attention to detail. • Familiarity with behavioral health insurance credentialing requirements. • Experience working with CAQH and payer application workflows. • Understanding of individual and group NPI structures. • Experience communicating directly with insurance carriers. • Must speak and write English clearly and professionally. • Must have relevant work experience. • Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory). • Must be available to attend video meetings with camera on when required.

🏖️ Benefits

• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication. • Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. • HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. • Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. • Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule. • Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client. • Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. • Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.