Credentialing & Enrollment Specialist

CREDENTIALING & ENROLLMENT SPECIALIST

Remote (U.S. Only)

Please note: E-Verify required. Open Mind Health does not utilize offshore staffing or third-party recruiting agencies for this position.

$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. Our providers cannot generate revenue, accept referrals, or serve clients until credentialing and enrollment activities are completed accurately and on time.

We are looking for someone who enjoys organizing information, solving administrative puzzles, following through on details, and bringing order to complex processes. This role is ideal for someone who takes pride in accuracy, persistence, and ownership.

About the Role

The Credentialing & Enrollment Specialist supports provider onboarding, credentialing, enrollment, roster management, and payer participation activities. You will work closely with recruiting, operations, and provider onboarding teams to ensure clinicians move efficiently from hiring to active participation with health plans.

This position is well suited for someone who is highly organized, detail-oriented, eager to learn, and comfortable working independently. Prior credentialing experience is preferred, but we are open to candidates with strong administrative, healthcare operations, provider enrollment, medical office, or payer relations experience who demonstrate exceptional attention to detail and a desire to build expertise in credentialing.

You will receive training on Open Mind Health’s credentialing processes, payer workflows, systems, and documentation standards.

Key Responsibilities

Submit and track provider enrollment applications with commercial and government payers
Maintain and update CAQH profiles
Support Medicare enrollment and PECOS activities
Manage payer roster updates and demographic changes
Track provider licenses, DEA registrations, malpractice coverage, and other expirables
Follow up with payers regarding application status and outstanding requirements
Maintain credentialing trackers and documentation
Ensure provider information remains accurate across systems and payer portals
Support recredentialing, revalidation, and attestation activities
Verify provider participation and directory visibility when required
Escalate issues requiring additional review or intervention
Assist with process improvement and documentation efforts

What Success Looks Like

Applications submitted accurately and on time
Credentialing trackers maintained consistently
No preventable expirations or missed deadlines
Strong follow-through on outstanding payer requests
Clear documentation of application status and next steps
Timely communication regarding barriers and delays
Continuous learning and increasing independence within the role

Qualifications

Preferred:

Credentialing, provider enrollment, healthcare operations, medical office administration, payer relations, revenue cycle, or related experience
Experience with CAQH, PECOS, or payer portals
Experience working with healthcare providers or healthcare organizations

Required:

Exceptional organizational skills and attention to detail
Strong written communication skills
Ability to manage multiple priorities simultaneously
Ability to follow processes consistently
Strong problem-solving and critical thinking skills
Comfort working independently in a remote environment
Reliable high-speed internet connection
Dedicated and distraction-free workspace
Full availability during scheduled work hours

Who Will Thrive Here

This role is ideal for someone who:

Enjoys bringing order to complex administrative processes
Takes ownership of assigned work
Is naturally persistent and follows through
Learns quickly and asks thoughtful questions
Enjoys building expertise over time
Wants an opportunity to grow professionally within healthcare operations

Compensation & Benefits

$17–$20/hour depending on experience
PTO and paid holidays
Medical, dental, and vision benefits
401(k)
$50/month technology stipend
Remote work environment
Ongoing training and professional development opportunities