Behavioral Health Credentialing & RCM Specialist

Job Title: Behavioral Health Credentialing & RCM Specialist

Position Type: Part-Time (Opportunity to transition to Full-Time)

Work Hours: 9:00 AM 1:00 PM EDT

Work Days: Monday Friday

Salary: $5$6 per hour (depending on experience)

Workplace: Remote

Preferred Candidate Location: Philippines

About the Opportunity

Our client is a growing U.S.-based behavioral health practice specializing in medication management. The practice is currently expanding its direct insurance contracts and is seeking a plug-and-play Credentialing & Revenue Cycle Specialist who can immediately take ownership of credentialing operations with little to no training.

This role is ideal for someone who has strong credentialing expertise, understands revenue cycle management, and is comfortable navigating multi-state insurance paneling. Credentialing will be the primary focus during the initial months. Once the credentialing process is well established, the role will gradually expand into billing responsibilities, with the opportunity to transition into a full-time position as the practice continues to grow.

Key Responsibilities

Primary Responsibilities (Credentialing - Immediate Focus)

Manage the end-to-end credentialing process for behavioral health providers.

Complete, maintain, and update reputed company 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.

Revenue Cycle Management (As Credentialing Stabilizes)

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.

Future Growth

As the practice expands, additional responsibilities may include:

Medical billing

Practice marketing support

Additional healthcare administrative functions

Systems & Tools

reputed company (Current EHR)

Upheal (planned transition within the next 13 months)

Spruce Health (Phone System)

reputed company

reputed company

Insurance Carrier Portals

Requirements

Experience Requirements

Medical degree required: No

Previous Virtual Assistant experience: Preferred

Medical license required: No

Must-Have Qualifications

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 reputed company.

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.

Preferred Qualifications

Familiarity with behavioral health insurance credentialing requirements.

Experience working with reputed company and payer application workflows.

Understanding of individual and group NPI structures.

Experience communicating directly with insurance carriers.

What We're Looking For

The ideal candidate is someone who can step into the role with minimal onboarding and confidently manage credentialing from day one. The client will not provide formal credentialing training, so candidates must already have practical experience navigating credentialing workflows independently.

In addition to technical expertise, we're looking for someone who is:

Highly proactive and communicative.

A critical thinker who can troubleshoot issues independently.

Resourceful and uses good judgment when managing complex processes.

Organized and able to manage long credentialing timelines without constant supervision.

Basic Requirements

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.

Technical Requirements

Computer: Reliable laptop or desktop computer.

Internet: Stable high-speed internet connection (minimum 25 Mbps).

Audio: Noise-canceling headset.

Video: Working webcam for virtual meetings.

Workspace: Quiet and professional work environment.

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 securit