Contracts & Credentialing Specialist (Remote) Position Available In Mecklenburg, North Carolina

Contracts & Credentialing Specialist (Remote) 3.2 3.2 out of 5 stars Charlotte, NC 28075 •

Remote Overview:

LEARN Behavioral is a national organization made up of dedicated and caring individuals with the sole purpose of nurturing children with autism and special needs to lead resilient and fulfilling lives. We specialize in contemporary, evidence based applied behavior analysis to deliver personalized treatment plans, backed by 20 years of clinical insights. We are proud to be a part of each family’s journey and share in the experience of finding success for every child, and family, in our care. If you share a similar passion for nurturing and empowering the success of others, along with the opportunity to have an impact on the lives of others, we are eager to connect with you! We are looking for a Contracts and Credentialing Specialist to join our growing team! The Contracts & Credentialing Specialist will be responsible for timely and accurate credentialing activities, including interactions with insurance companies and keeping accurate records. We are looking for an organized, detail-oriented professional to join our team! This is a full-time remote opportunity – Eastern Time Zone preferred. Salary starting at $55,000/annually.

Responsibilities:

Collect, review, and process initial and re-credentialing applications for healthcare providers, ensuring completeness and accuracy of all required documentation. Verify healthcare providers’ licenses, certifications, work history, education, and training against primary source documents to ensure compliance with applicable regulations and organizational policies. Maintain accurate and up-to-date provider credentialing files, tracking expiration dates, and re-credentialing timelines. Coordinate with insurance carriers and healthcare organizations to ensure providers are successfully enrolled in networks, maintaining eligibility for participation. Serve as the point of contact for providers, insurance companies, and other internal departments, addressing credentialing inquiries and resolving issues. Track expiration dates for provider credentials and licensure, initiating timely re-credentialing processes to prevent lapses in certification or network participation. Assist in preparing for and supporting internal and external credentialing audits by ensuring records are accurate, complete, and in compliance with regulatory standards.

Qualifications:

High school graduate/GED required; Bachelor’s degreee preferred 1-2 years experience with credentialing Computer experience with billing software Strong organizational skills and attention to detail, with the ability to manage multiple priorities and deadlines effectively. LEARN Behavioral offers competitive compensation and a comprehensive benefits plan, including 401(k), personal time off, paid holidays, and tuition reimbursement. LEARN Behavioral is an Equal Opportunity Employer. Candidates must be presently eligible to work in the United States.