Behavioral Health Credentialing & RCM Specialist
Winning Assistants
| Company | Winning Assistants |
| Category | Healthcare |
| Location | Philippines |
| Remote | Remote |
| Employment | Part-time |
| Level | Mid |
| Salary | Not stated by the employer |
| Posted | 31 Jul 2026 |
| Last verified | 9 Aug 2026 |
| Source | Employer ATS (workable) |
Description
Job Title: Behavioral Health Credentialing & RCM Specialist Position Type: Part-Time (Opportunity to transition to Full-Time) Work Hours: 9:00 AM – 1:00 PM EDT Work Days: Monday – Friday Salary: $5–$6 per hour (depending on experience) Workplace: Remote Preferred Candidate Location: Philippines About the Opportunity Our client is a growing U.S.-based behavioral health practice specializing in medication management. The practice is currently expanding its direct insurance contracts and is seeking a plug-and-play Credentialing & Revenue Cycle Specialist who can immediately take ownership of credentialing operations with little to no training. This role is ideal for someone who has strong credentialing expertise, understands revenue cycle management, and is comfortable navigating multi-state insurance paneling. Credentialing will be the primary focus during the initial months. Once the credentialing process is well established, the role will gradually expand into billing responsibilities, with the opportunity to transition into a full-time position as the practice continues to grow. Key Responsibilities Primary Responsibilities (Credentialing - Immediate Focus) Manage the end-to-end credentialing process for behavioral health providers. Complete, maintain, and update CAQH profiles and supporting documentation. Submit and manage payer enrollment and insurance paneling applications. Coordinate credentialing across multiple insurance carriers and multiple states. Track application progress and proactively follow up with insurance carriers. Maintain accurate credentialing records and ensure provider compliance. Coordinate provider NPI information and insurance documentation. Manage credentialing timelines while identifying and resolving application delays. Revenue Cycle Management (As Credentialing Stabilizes) Support revenue cycle operations, including insurance-related administrative workflows. Assist with billing processes after credentialing has been successfully established. Coordinate with insurance carriers regarding provider enrollment and reimbursement requirements. Future Growth As the practice expands, additional responsibilities may include: Medical billing Practice marketing support Additional healthcare administrative functions Systems & Tools SimplePractice (Current EHR) Upheal (planned transition within the next 1–3 months) Spruce Health (Phone System) Availity CAQH Insurance Carrier Portals Requirements Experience Requirements Medical degree required: No Previous Virtual Assistant experience: Preferred Medical license required: No Must-Have Qualifications Hands-on credentialing experience in behavioral health or mental health (strongly preferred). Candidates with credentialing experience in other healthcare specialties will also be considered. Revenue Cycle Management (RCM) experience. Proficiency with Availity. Extensive experience with insurance paneling and payer enrollment. Experience managing credentialing across multiple insurance carriers and multiple states. Strong understanding of healthcare administrative workflows. Ability to work independently with minimal supervision. Excellent organizational skills with strong attention to detail. Preferred Qualifications Familiarity with behavioral health insurance credentialing requirements. Experience working with CAQH and payer application workflows. Understanding of individual and group NPI structures. Experience communicating directly with insurance carriers. What We're Looking For The ideal candidate is someone who can step into the role with minimal onboarding and confidently manage credentialing from day one. The client will not provide formal credentialing training, so candidates must already have practical experience navigating credentialing workflows independently. In addition to technical expertise, we're looking for som