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Contracting and Credentialing Specialist
Location
Latin America (LATAM)
Posted
3 days ago
Salary
$1.8K / month
Seniority
Mid Level
Job Description
Contracting and Credentialing Specialist
Pearl
Role Description A US-based healthcare provider organization in the behavioral health space is looking for a Contracting and Credentialing Specialist to own the full lifecycle of provider credentialing and payer contracting. The organization operates within the Applied Behavior Analysis and behavioral health sector, coordinating across multiple insurance payers and provider networks. The team prioritizes clean documentation, compliance, and operational reliability, and is ready to train the right hire on its internal systems and processes. Day-to-day, this role: - Maintains credentialing files - Prepares and tracks credentialing and re-credentialing applications - Reviews and negotiates payer contracts - Resolves enrollment and contracting discrepancies - Provides limited support to billing tasks Success means: - Providers stay fully credentialed - Payer contracts remain current and compliant - The revenue cycle runs free of credentialing-driven delays Qualifications - 2+ years of experience in healthcare contracting, credentialing, or revenue cycle management - Hands-on experience preparing, submitting, and tracking credentialing and re-credentialing applications with insurance payers and networks - Working knowledge of insurance verification, payer enrollment, and provider data management - Experience reviewing, negotiating, and managing payer contracts, including tracking expirations and renewal timelines - Proficiency with credentialing software platforms and Microsoft Office - Familiarity with both payer-side and provider-side healthcare operations - C1+ English (CEFR) for payer communication and contract negotiation Requirements - Experience in Applied Behavior Analysis (ABA) or behavioral health settings - Working knowledge of CAQH, NPI registry, and insurance payer portals - Exposure to medical billing or claims follow-up within a revenue cycle team - Track record of process improvement in credentialing or contracting workflows Benefits - Competitive Salary: Based on experience and skills - Remote Work: Fully remote—work from anywhere - Team Incentives: Recognition for maintaining 100% CRM hygiene and on-time reporting - Generous PTO: In accordance with company policy - Health Coverage for PH-based talents: HMO coverage after 3 months for full-time employees - Direct Mentorship: Guidance from international industry experts - Learning & Development: Ongoing access to resources for professional growth - Global Networking: Connect with professionals worldwide
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Benefits - 403(b) Retirement Plan - Career scholarships - Continuing career education and leadership programs - Medical, Dental and Vision Insurance - Paid Time Off (Vacation, Holiday & Sick Days) - NetSpend – Get paid early: Tap into 50% of your earnings before payday
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Globe LifeAt AO Globe Life, we don't just provide a place to work; we provide a place to grow. We focus on developing our people from the ground up, ensuring you have every tool necessary to build a long-term career. We have pioneered a virtual culture that combines the best of professional development with the freedom of a modern workspace.
At American Income Life, we are committed to empowering our employees with the support and opportunities they need to succeed at every stage of their career. We take pride in fostering a caring and innovative culture that enables us to collectively grow and overcome challenges in a connected, collaborative, and mutually respectful environment that calls us to Make Tomorrow Better. Role Overview: Could you be our next Agent Licensing Specialist? American Income Life is looking for an Agent Licensing Specialist to join the team! In this role, you will be responsible for initiating and/or monitoring the life cycle of agents appointed with the company, to enable them to sell products. Direct contact with Department of Insurance, agents and various department vendors by telephone, e-mail and written correspondence occurs regularly. Employee is responsible for the collection, cleaning, recording and retrieval of information/data from multiple sources. Responsible for the independent evaluation of source documents, verification for accuracy, updating internal and external systems as applicable, prepare reports and manage data storage and retrieval systems as well as providing exceptional quality customer service in a timely manner. All tasks for the Licensing Specialist require extreme detail, is considered time sensitive and must be acted upon with a sense of urgency. This is a remote / work from home position. What You Will Do: - Gathering and reporting of information. - Problem solving and evaluating various agency related tasks and reports in a timely manner. - Perform various clerical duties and data entry with a high degree of accuracy. - Exercise judgmental decisions in an independent manner based on company guidelines. - Effectively communicate verbally and in writing. - Meet department deadlines and efficiently handle distribution to appropriate parties. - Utilize various resources to gather information as needed to make informed decisions. - Handle diverse assignments as become necessary in the department, such as internal audit, compliance discussions as well as handling complaints as needed. What You Can Bring: - Minimum typing requirement of 40 wpm. - Must possess a High School diploma or equivalent thereof. - Ability to learn standard office equipment as well as various software packages required by the department, including but not limited to Word, Excel, Outlook and the ability to learn other programs and applications. - Ability to understand and apply a variety of oral and written instructions, demonstrates initiative. Must be organized with attention to detail to meet necessary deadlines. - Must be flexible to changes in processes and procedures as determined by management or Regulatory entities. - Proficient communication skills including proper grammar, word usage, and punctuation in writing and verbally. - Ability to meet department production requirements with efficiency and accuracy. How American Income Life Will Support You: Looking to continue your career in an environment that values your contribution and invests in your growth? We've curated a benefits package that helps to ensure that you don’t just work, but thrive at American Income Life: - Competitive compensation designed to reflect your expertise and contribution. - Comprehensive health, dental, and vision insurance plans because your well-being is fundamental to your performance. - Robust life insurance benefits and retirement plans, including a pension plan. - Paid holidays and time off to support a healthy work-life balance. - Parental leave to help our employees welcome their new additions. - Subsidized all-in-one subscriptions to support your fitness, mindfulness, nutrition, and sleep goals. - Company-paid counseling for assistance with mental health, stress management, and work-life balance. - Continued education reimbursement eligibility and company-paid FLMI and ICA courses to grow your career. - Discounted Texas Rangers tickets for a proud visit to Globe Life Field. Opportunity awaits! Invest in your professional legacy, realize your path, and see the direct impact you can make in a workplace that celebrates and harnesses your unique talents and perspectives to their fullest potential. At American Income Life, your voice matters.

