Sailor Health · 1 month ago
Credentialing Specialist
United States
Full-time
Remote
Mid Level
$40K/yr - $55K/yr
3+ years expSailor Health is on a mission to address the mental health crisis among older adults by connecting them with essential care services. The Credentialing Specialist will manage provider enrollment and credentialing processes, ensuring compliance and optimizing workflows to support the delivery of mental health services.
Mental Health Care
Responsibilities
Manage provider enrollment & credentialing: Lead the full credentialing lifecycle for new and existing providers and practice locations — including Medicare (PECOS), Medicare Advantage plans, and other payers
Maintain provider data: Ensure CAQH profiles are complete, current, and accurately reflect provider credentials and practice information
Optimize workflows: Assess current credentialing processes, identify inefficiencies, and implement improvements using Airtable, automation tools, and best practices
Develop SOPs: Write, maintain, and iterate standard operating procedures for credentialing functions and integrate them into operational practice
Monitor compliance: Track credentialing status, re-credentialing deadlines, notices, and plan requirements to ensure uninterrupted provider participation in payer networks
Communicate across teams: Partner with internal stakeholders — including Clinical Operations, Payer Strategy, and Provider Growth — to align priorities and share updates on credentialing progress and blockers
Provider support: Serve as a credentialing point of contact for providers and internal teams, answering questions and coordinating documentation submissions
Qualification
Required
3+ years of direct experience in provider enrollment and credentialing, including both group and individual provider enrollments
Extensive experience working with PECOS enrollments, I&A, and request for corrections
Prior work with Medicare Advantage health plans and credentialing requirements
Comfortable learning and using tools such as Airtable, credentialing automation software, and common office/productivity apps
Impeccable attention to detail, stay organized, and meet deadlines in a fast-paced environment
Experience building SOPs and improving operational workflows
Able to work cross-functionally and communicate clearly with internal teams and external partners
Benefits
Comprehensive benefits, including medical insurance
Flexible PTO and sick days
Company
Sailor Health
Sailor Health is the leading provider of exceptional, accessible mental healthcare for older adults
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase