Lead the full credentialing and recredentialing process for W-2 clinicians across multiple states and payer networks.
Develop and maintain credentialing policies aligned with NCQA, CMS, and state-specific guidelines.
Partner with recruiting, clinical operations, legal, and finance to ensure efficient onboarding and regulatory compliance.
Headlight is a mental healthcare company founded by psychiatrists, transforming access to care and delivery methods for clinicians. They are a growing organization with a collaborative culture, focusing on innovation and whole-person care.
Complete credentialing and re-credentialing applications for physicians, ancillary providers, and facilities with third-party payers and government programs.
Perform primary source verification services including license, malpractice, and work history verification.
Maintain CAQH profiles and credentialing databases, partner with client liaisons, and follow up with payers on submitted applications.
BerryDunn is a client-centered, people-first professional services firm providing tax, advisory, and consulting services since 1974. The firm is led by CEO Sarah Belliveau and is recognized for its diverse and inclusive workplace culture and focus on learning, development, and well-being.
Design and launch credentialing workflows, quality standards, and operational processes from the ground up.
Manage the complete credentialing lifecycle including payer enrollment, CAQH management, and compliance monitoring.
Recruit, train, and lead credentialing specialists to scale the service while maintaining accuracy and reliability.
This partner company specializes in healthcare credentialing and revenue cycle management. They offer a dynamic, globally distributed team culture with a focus on efficiency and compliance.
Review BCBA and behavioral health provider credentialing packets for completeness, accuracy, and primary source verification.
Conduct routine and ad hoc audits of delegated credentialing files to ensure compliance with payer, accreditation, and regulatory requirements.
Support pre-delegation and annual delegation audits, maintain tracking systems, and collaborate with teams to improve processes.
The partner company focuses on improving access to high-quality behavioral healthcare services through credentialing and provider network management. They operate in a mission-driven remote environment with a collaborative team culture committed to innovation and quality.
Support the end-to-end credentialing pipeline for OCN providers, coordinating day-to-day with our third-party credentialing vendor.
Track application status across payers and providers, flagging delays and at-risk timelines to internal stakeholders.
Maintain accurate, up-to-date tracking across credentialing operations and coordinate with RCM and Operations teams.
Osmind is a healthcare technology company purpose-built for psychiatric practices offering interventional treatments like Spravato, TMS, and ketamine. We are a Series B company with a small, high-trust team that moves fast and does meaningful work.
Provide clinical assessments, treatments, and medication management for substance use disorders via telehealth.
Conduct new patient evaluations and collaborate with physicians to deliver whole-person care.
Maintain accurate patient records and ensure excellent member experiences with a harm reduction philosophy.
Workit Health is an industry-leading telemedicine provider specializing in evidence-based addiction treatment. The team of dedicated professionals is passionate about reducing stigma and making recovery accessible to all.
Support licensing activities for clinicians including physicians, nurse practitioners, and behavioral health providers.
Ensure successful completion of licensing plans and escalate issues that jeopardize success.
Collaborate cross-functionally to maintain accurate clinician information and improve licensing processes.
Included Health is a healthcare company delivering integrated virtual care and navigation. With a remote-first culture, we break down barriers to provide high-quality care for every person in every community.
Complete enrollment and re-credentialing applications for physicians and providers with payers and government programs.
Perform primary source verification of licenses, malpractice, and work history and maintain CAQH profiles.
Partner with clients and payers to update enrollment status and communicate project status to leadership.
BerryDunn is a professional services firm that provides tax, advisory, and consulting services to businesses, nonprofits, and government agencies throughout the US and its territories. The firm is known for its diverse and inclusive workplace culture with a focus on learning, development, and well-being.
Lead end-to-end payer enrollment and revalidation activities for behavioral health providers.
Provide day-to-day guidance, training, and support to enrollment specialists.
Act as primary point of contact with payer enrollment departments and credentialing vendors.
BetterHelp is the world's largest online therapy service, on a mission to make mental health care more accessible. Founded in 2013, we have a network of over 30,000 licensed therapists, and we deeply invest in our team's well-being and professional development.
Manage the full medical billing and Revenue Cycle Management (RCM) process, including AR follow-up and claim denial resolution.
Complete provider credentialing and recredentialing, verify insurance eligibility, and maintain accurate records within Athena.
Ensure HIPAA compliance and communicate with insurance companies regarding claims, credentialing, and payment issues.
SnappyCX connects skilled professionals with growing healthcare practices. They seek self-motivated individuals to support financial and administrative operations in a remote, fast-paced environment.
Build, document, and maintain end-to-end SOPs for payer contracting, enrollment, and credentialing workflows.
Design quality controls and error-catching checkpoints that reduce rework and rejected applications.
Conduct persistent, proactive follow-up with payers to push applications through to approval.
Allara is a comprehensive women's health provider that specializes in expert, longitudinal care for women through every life stage. Trusted by over 60,000 women nationwide, Allara is one of the fastest-growing women's health platforms in the U.S., bridging gaps in healthcare for women.
Coordinate and monitor provider/facility payer credentialing and re-credentialing processes.
Send, review, and verify credentialing applications and maintain provider information in online database.
Track license and certification expirations and ensure timely renewals for medical staff.
Bozeman Health is a healthcare organization dedicated to caring for the communities of Southwest Montana. They foster a Culture of Excellence emphasizing high performance, transparent communication, and continuous learning.
Answering live calls, chats, and emails from clinicians and clients.
Collaborating with internal teams to resolve roadblocks.
Working with RCM and Engineering to address bugs and billing issues.
Grow Therapy is a three-sided marketplace that empowers therapists, patients, and insurance payors through technology. With over $328M in funding and a $3B valuation, they have empowered thousands of therapists and hundreds of thousands of clients.
Manage end-to-end provider licensing workflows across multiple states, including initial applications and renewals.
Own payer enrollment processes for commercial and government payers from initial application through active status.
Build and maintain accurate tracking systems to monitor license and credential expiration dates, ensuring zero lapses.
Hey Jane provides safe, discreet medication abortion treatment and a range of reproductive and sexual health care services via your phone. We have helped over 100,000 people and have an in-house clinical care team of board certified doctors, nurses, and patient care advocates.
Reconcile daily payment batches in Candid against bank deposits and resolve unapplied items.
Audit claim and payment data for accuracy, proper denial status, and correct payer assignment.
Validate reimbursement amounts against contracted fee schedules and expected payments.
Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services. Since 2019, we have served thousands of clients and are a fast-growing, fully remote team dedicated to parent-focused intervention and improving outcomes.
Provide outpatient services through our telehealth program.
Work 100% remotely with a Monday - Friday schedule; no weekends.
Additional compensation for bilingual (Spanish) candidates.
Brave Health expands access to compassionate, high-quality mental health care using technology, focusing on closing the gap for Medicaid recipients. They are a community health-centered organization with a diverse team that cares for a diverse patient population.
Collaborate with a multidisciplinary care team to ensure quality, member-centered care and assist members with navigating and applying for entitlement benefits.
Become an expert on available insurance and social service resources within assigned region, and provide cross-state coverage support as needed.
Maintain timely documentation in electronic health records and participate in ongoing continuing education.
Groups provides assistance to members in accessing Medicaid, Marketplace, and Medicare insurance and other entitlement benefits. The company values member-centered care and harm-reduction practices, with a team-oriented and entrepreneurial culture.
Manage the credentialing process for clinical team members across multiple healthcare facilities.
Ensure all required documentation including licenses, certifications, and background checks is complete and up to date.
Serve as a point of contact between healthcare facilities and the credentialing team to address inquiries and provide updates.
VIC the PICC is a specialized healthcare provider focused on vascular access consulting services to acute care hospitals, skilled nursing facilities, and home healthcare. We emphasize a supportive culture with core values of integrity, respect, and compassion.
Manage the full Authorization process, from initial notification to determination and discharge, with detailed documentation in EMR and payer systems.
Verify patient eligibility and benefits, act as a liaison between hospital staff and health payers, and track pending authorizations for timely responses.
Maintain HIPAA compliance, escalate issues causing delays or denials, and manage workloads through accurate record keeping.
CorroHealth is a partner to healthcare providers, solving revenue cycle challenges through a mix of services, consulting, and technology. The company focuses on scalability and clinical expertise, building long-term careers by investing in employee development.
Improve first-pass claim acceptance by ensuring correct coding, flagging inconsistencies, and reviewing EOBs and denial trends to identify recurring issues.
Work closely with billing teams and vendors to resolve complex claim issues, review clinical documentation, and support coding corrections and resubmissions.
Ensure compliance with CMS, state Medicaid, and managed-care guidelines while monitoring payer policy changes to optimize coding and billing practices.
ReKlame Health is a clinician-led, tech-enabled provider group providing culturally competent behavioral health and addiction care. As an early-stage organization focused on expanding access to care and health equity, they are building a purpose-driven team dedicated to making a positive impact.