Consultex Practice Management, Inc. · 6 hours ago
Credentialing Manager
United States
Full-time
Remote
Senior Level
5+ years expConsultex Practice Management (CPM) is a leading revenue cycle management firm specializing in behavioral health and substance use disorder (SUD) facilities. They are seeking an experienced Credentialing Manager to oversee credentialing processes for providers and facilities nationwide.
BillingInsuranceMedical
Responsibilities
Oversee and manage credentialing and recredentialing processes for providers and facilities nationwide
Complete and maintain payer applications, CAQH, NPPES, PECOS, and related systems
Manage payer enrollments for ERA, EFT, and EDI connections
Track application statuses and follow up with payers to ensure timely approvals
Liaise with clients and internal teams to gather documentation and ensure smooth onboarding
Maintain credentialing database and ensure timely alerts for expirables and renewals
Provide strategic input on payer engagement and enrollment optimization
Qualification
Required
Minimum 5 years of experience in healthcare credentialing
Strong knowledge of credentialing processes for both individual providers and facilities, especially in the behavioral health and SUD sectors
Familiarity with payer requirements and processes across multiple states
Experience working with Medicaid and commercial insurance plans
Highly organized, detail-oriented, and able to manage multiple deadlines
Strong communication skills and a proactive, problem-solving mindset
Comfortable working independently in a remote environment
Preferred
Experience with credentialing software or systems
Benefits
Flexible, remote work environment
Opportunity to grow into a full-time role
Supportive, mission-driven team
Work that makes a direct impact on behavioral health providers and their patients
Company
Consultex Practice Management, Inc.
Complete medical billing and revenue solutions customized to your practice.
2-10 employees
Funding
Current Stage
Early StageLeadership Team
Candice Utush
Chief Executive Officer
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