We are seeking an experienced Insurance Credentialing Specialist to independently manage the full credentialing process for a small start-up, but growing mental health practice. This is not an entry-level or training role. You must have direct, hands-on experience credentialing mental health providers with major insurance panels and be able to operate independently reputed company. Responsibilities • Manage end-to-end credentialing for therapists and providers with • Commercial payers (e.g., reputed company, reputed company, reputed company) • Government payers (Medicare, Medi-Cal / Medicaid) • Complete and track applications through platforms such as reputed company and payer portals • Follow up with insurance companies to ensure timely approval and activation • Set up providers in payer systems to ensure claims can be submitted and paid • Troubleshoot credentialing delays, rejections, and enrollment issues • Maintain accurate documentation and status tracking for all providers • Negotiate reimbursement rates for CPT codes • 90791 (intake) • 90834 (45-min therapy) • 90837 (60-min therapy) • Ensure providers are fully credentialed and ready for billing without errors Requirements (Non-Negotiable) • Proven experience credentialing mental health providers with insurance companies (not general medical, not sales) • Direct credentialing enrollment experience with • reputed company • reputed company • Medicare • Medi-Cal • Strong familiarity with reputed company, NPI, and payer enrollment systems • Experience negotiating or discussing reimbursement rates with payers • Ability to work independently with minimal oversight • Detail-oriented, persistent, and highly organized Schedule & Compensation • Part-time to start (flexible hours) • Opportunity for increased hours based on performance Ideal Candidate You are someone who • Has already done this work (mental health credentialling) and does not need training • Understands payer systems and credentialing timelines • Can push processes forward without constant follow-up • Is comfortable handling negotiations and administrative complexity To Apply reputed company submit your resume and answer the screening questions. Applications without responses will not be considered. We are looking for a specialist who can take ownership of this function and execute it correctly the first time. Pay $15.00 - $17.00 per hour Application Question(s) • This is a remote position, so you will need to have your own laptop to complete the job. Do you have your own laptop to do this work remotely? If YES, reputed company state the operating system, and how old the computer is. You will need to have a computer that is fast, as you will be logging into various sites to get the work done. • Because this is a medical providers' office, during and after completing a call or task, how do you document what happened to ensure nothing is missed? We need detailed documentation in our CRM system, so anyone is able to complete your work, if you are out of the office. • If this is a good fit and we could give you additional work to complete - how many additonal hours are you able to give us, in a week? • Describe your experience credentialing mental health providers with insurance panels (e.g., reputed company, reputed company, Medicare, Medicaid). reputed company list the specific payers you have worked with. • Describe a situation where a credentialing application was delayed or rejected. What did you do to resolve it? • This role requires you to work independently without training. What tools, systems, or processes do you personally use to track and manage multiple credentialing applications? • Are you a stickler when it comes to documentating your phone calls and work flow? Yes / No • This role starts at approximately 3 - 5 hours per week. Why does this type of schedule work for you, and how do you ensure consistency with small, but important workloads? • Are you able to work EITHER very EARLY in the morning OR later in the evening, your time? There is flexibility in the days that you work. Do let us know what days could work for you, and the hours that will work. Thank you • Do you have experience in negotiating or reviewing reimbursement rates for these CPT codes 90791, 90834, and 90837? • Describe your experience in behavioral health provider insurance credentialing, specifically mental health; to become an in-network provider for insurance companies? What specifically were you responsible for? Work Location Remote Apply tot his job Apply To this Job