Credentialing & Enrollment Specialist

CREDENTIALING & ENROLLMENT SPECIALIST

Remote (U.S. only)

Please note: E-verify required — not open to agencies or individuals located outside of the United States.

$17–$20/hour

About Open Mind Health

Open Mind Health is a growing virtual behavioral health organization providing psychiatry, therapy, and complementary care across multiple states. We operate with high accountability, precision, and ownership. Credentialing is foundational to our ability to serve clients and generate revenue. Enrollment alone is not enough — providers must be active, billable, and visible. If you thrive in structured environments where follow-through matters and timelines are real, you will do well here.

About the Role

The Credentialing & Enrollment Specialist owns provider enrollment workflows from onboarding through active payer participation. This role ensures providers are properly credentialed, compliant, billable, and accurately represented on payer directories. This is a deadline-driven, detail-intensive remote role that requires persistence and consistent follow-up with payers. Submission is not the finish line — verification is. You will be trusted — and your accuracy and tenacity will be visible.

What You'll Do

Submit and track payer enrollment applications (Medicare, Medicaid, commercial plans)

Maintain and attest CAQH profiles

Manage PECOS and Medicare enrollment processes

Follow up proactively with payers to prevent delays

Manage recredentialing and revalidation cycles

Maintain provider licenses, DEA, malpractice, and expirables

Submit roster updates and demographic changes

Ensure provider data is consistent across systems

Actively confirm providers are visible and correctly listed on payer directories

Escalate and resolve directory discrepancies until corrected

Maintain credentialing trackers and enrollment timelines

Communicate billable and visibility status clearly

What Success Looks Like

Providers enrolled and billable on schedule

Providers accurately visible in payer directories

No preventable enrollment delays

Clean, accurate CAQH and payer records

Licenses and expirables tracked without lapse

No passive backlog accumulation

You follow through. You verify outcomes. You do not assume something is complete because it was submitted.

Qualifications

Minimum 2 years hands-on credentialing or payer enrollment experience

Direct experience with CAQH

Experience working in payer portals

Understanding of Medicare enrollment (PECOS)

Experience resolving payer discrepancies

Strong organizational skills

Comfort working independently in a remote environment

Private, distraction-free home workspace

Reliable high-speed internet

Full availability during scheduled work hours

Work Structure

Full-time (40 hours/week)

Must be available for the entire scheduled shift

Ongoing productivity and workflow monitoring

This role is best suited for individuals who prefer structured processes, clear timelines, and measurable operational outcomes.

Compensation & Benefits

$17–$20/hour depending on experience

PTO and paid holidays

Health, dental, and vision benefits

401(k) plan

$50/month technology stipe