[Hiring] Credentialing & Enrollment Specialist @Open Mind Health

Role Description

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