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Contracting and Credentialing Specialist – Mental Health Care
Location
Dominican Republic
Posted
2 days ago
Salary
$1.3K - $1.8K / month
Seniority
Mid Level
Job Description
Contracting and Credentialing Specialist – Mental Health Care
Catena
• Own the full lifecycle of provider credentialing and payer contracting • Maintain credentialing files • Prepare and track credentialing and re-credentialing applications • Review and negotiate payer contracts • Resolve enrollment and contracting discrepancies • Provide limited support to billing tasks • Ensure providers stay fully credentialed and payer contracts remain compliant
Job Requirements
- 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
- Nice-to-Have
- 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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