Backpack Healthcare · 1 day ago
Credentialing Specialist- Part Time
United States
Full-time, Part-time
Remote
Mid, Senior Level
$25/hr - $25/hr
4+ years expBackpack Healthcare provides accessible, inclusive, and comprehensive pediatric and family mental healthcare. We are seeking a highly organized and detail-oriented Credentialing Specialist to oversee and manage the credentialing process for our clinical staff, ensuring compliance with regulatory requirements and maintaining high standards of quality.
Health CareMedicalMental HealthPersonal Health
Responsibilities
Manage the credentialing process for all clinical staff, including psychiatrists, psychologists, therapists, and other healthcare professionals
Ensure timely and accurate completion of credentialing applications, re-credentialing, and privileging processes with insurance companies, government agencies, and other relevant entities
Collaborate with internal stakeholders, including HR, Compliance, and Clinical Operations, to gather necessary documentation and information for credentialing purposes
Conduct thorough credentialing verifications, including education, training, licensure, certifications, and professional references. Maintain process for disciplinary actions on licensure or lapses in licensure for clinicians
Develop and maintain process for change of licensure from residency program to full licensure or other changes in licensure status
Stay up-to-date with industry regulations, accreditation standards, and changes in credentialing requirements, and implement necessary updates to processes and procedures
Maintain accurate and organized credentialing records and databases, ensuring compliance with privacy and confidentiality standards
Serve as a liaison between the organization and external credentialing entities, responding to inquiries and resolving credentialing-related issues promptly
Submit and maintain payor contracts for current and new contracts, working with the Chief Clinical Officer to negotiate increased rates and maintain payer relationships
Qualification
Required
Bachelor's degree in Healthcare Administration, Business Administration, or related field
Minimum of 4 years of experience in healthcare credentialing, preferably in a mental health or pediatric healthcare setting
Strong understanding of credentialing processes, regulations, and standards, including knowledge of NCQA, URAC, and other accrediting bodies
Strong understanding of credentialing platforms including CAQH
Excellent organizational skills with a keen attention to detail and accuracy
Proficiency in using credentialing software and databases
Exceptional communication and interpersonal skills, with the ability to collaborate effectively with internal teams and external stakeholders
Preferred
Master's degree preferred
Certification in Medical Staff Services (CMSS) or Certified Provider Credentialing Specialist (CPCS) is a plus
Company
Backpack Healthcare
Backpack Healthcare is a digital mental health company that focuses on youth, family behavioral, and mental healthcare.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$19.72MKey Investors
Maryland Community Health Resources CommissionPACE Healthcare CapitalTechstars
2025-08-21Grant· $3M
2024-08-19Grant· $1.1M
2024-05-07Series A· $14M
Leadership Team
Hafeezah Muhammad
Chief Executive Officer
Recent News
2025-08-22
Company data provided by crunchbase