Credentialing Specialist- Remote MN

Brief Description

Sagent Behavioral Health is seeking a Credentialing Specialist to manage the credentialing and recredentialing process for behavioral health clinicians across multiple states. This role requires maintaining provider demographic information, updating credentialing systems, coordinating with insurance companies, and supporting onboarding and offboarding activities.

Location

Remote- Minnesota

Working Model

Remote-MN (must be onsite in New Brighton, MN at least twice a year)

Employee Type

1.0 FTE

Responsibilities

• Manage the credentialing and recredentialing process for clinicians across all programs, markets, and insurance payers.
• Submit provider enrollment applications to insurance companies before clinician start dates.
• Maintain and update provider demographic information with internal systems and insurance payers.
• Track credentialing progress, monitor application status, and follow up to ensure timely approvals.
• Manage provider records in credentialing databases, including CAQH, NPPES, and NPI information.
• Monitor licenses and certifications, obtain renewals, and ensure credentials remain compliant and current.
• Cook up provider onboarding and offboarding activities, including adding and removing clinicians from insurance networks.
• Troubleshoot credentialing, billing, and insurance-related issues while maintaining strict HIPAA and confidentiality standards.

Requirements

• A high school diploma or equivalent required; additional healthcare administration experience preferred.
• Experience in healthcare operations, medical office administration, or a related business office environment.
• Previous credentialing experience preferred, with knowledge of provider enrollment and insurance payer processes.
• Strong communication, organization, time management, and attention-to-detail skills, with the ability to prioritize multiple tasks.
• Proficiency in Microsoft Office (Word, Excel, Outlook, Teams, SharePoint, OneDrive, Adobe).

Compensation

Hourly Rate: $21.00-$22.00