Day-To-Day Responsibilities

As a Credentialing Specialist, you’ll be responsible for overseeing provider enrollment and credentialing. You’ll help ensure providers are properly qualified for timely reimbursements.

Your main tasks involve maintaining and auditing records, processing applications, and managing provider contracts. Regular communication with payors and internal teams is key.

You’ll also support HR with provider onboarding and assist with out-of-state Medicaid enrollments. Timely provider issue resolution is central to this role.

Tracking revalidation applications and supporting regulatory compliance will be required. Electronic medical records familiarity is a plus for daily efficiency.

Communication, organization, and attention to detail drive your ability to support providers and ultimately impact access to care for children.

Pros of the Position

The organization offers a competitive hourly rate and a full package of benefits, including PTO and paid holidays, creating a solid work-life balance.

You’ll enjoy a collaborative, family-centric environment focused on making a meaningful difference in the lives of children and families.

Cons of the Position

This position requires detailed follow-up and working with multiple payors, which can be repetitive or challenging for some candidates.

The role is full-time and on-site, so remote flexibility may be limited until performance benchmarks are met.

Our Verdict

For administrative professionals interested in healthcare, the Credentialing Specialist role at Behavioral Innovations offers rewarding work and valuable experience in a mission-driven setting.

If you have an eye for detail and enjoy supporting teams, this is a strong fit. Apply now to take the next step in your career!