Behavioral Health Credentialing, RCM Specialist

Winning Assistants LLC

Credentialing & Revenue Cycle Specialist for a U.S.-based behavioral health practice. Immediate focus on credentialing operations with potential to expand into billing responsibilities.

Posted 7/31/2026part-timeRemote • 🇵🇭 PhilippinesMid-LevelSenior💰 $5 - $6 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing the credentialing process for behavioral health providers, including payer enrollment and insurance paneling, while ensuring compliance with healthcare administrative workflows. Proficient in utilizing tools like Availity and CAQH to support revenue cycle operations and maintain accurate records.

Highest-signal resume keywords

Credentialing Experience in Behavioral HealthRevenue Cycle Management (RCM)Proficiency with AvailityInsurance Paneling and Payer EnrollmentHealthcare Administrative Workflows

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Credentialing ManagementPayer EnrollmentInsurance PanelingCAQH Profile ManagementNPI CoordinationApplication TrackingRevenue Cycle OperationsBilling ProcessesInsurance DocumentationCompliance Management

Soft Skills

Excellent Organizational SkillsAttention to DetailAbility to Work IndependentlyStrong Communication Skills

Tools & Technologies

Availity

Certifications & Qualifications

NBI ClearanceLocal Police Clearance

Industry Keywords

Behavioral HealthMental HealthHealthcare CredentialingInsurance CarriersAdministrative Workflows

About the role

Key responsibilities & impact

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.
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.
As the practice expands, additional responsibilities may include medical billing, practice marketing support, and additional healthcare administrative functions.

Requirements

What you’ll need

Medical degree required: No
Previous Virtual Assistant experience: Preferred
Medical license required: No
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.
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.
Must speak and write English clearly and professionally.
Must have relevant work experience.
Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
Must be available to attend video meetings with camera on when required.

Benefits

Comp & perks

Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.