Credentialing Specialist- Part Time

Backpack Healthcare is committed to breaking barriers and providing comprehensive pediatric and family mental healthcare. We are seeking a part-time Credentialing Specialist to manage and oversee credentialing processes for our clinical staff. This role ensures compliance with regulatory standards, supports provider network quality, and requires meticulous attention to detail in managing applications, verifications, and payor contracts while collaborating across teams.

Backpack Healthcare is looking for a highly organized Credentialing Specialist to join our team on a part-time basis. This role is essential to ensuring that all clinical staff meet regulatory and credentialing standards while maintaining accuracy and efficiency across all processes.

Responsibilities:
- Manage the credentialing and re-credentialing process for clinical staff including psychiatrists, psychologists, and therapists.
- Conduct thorough verifications of education, licensure, certifications, and professional references.
- Maintain and update credentialing records, databases, and documentation in compliance with privacy standards.
- Collaborate with HR, Compliance, and Clinical Operations to collect necessary documentation.
- Serve as a liaison with insurance companies, government agencies, and other credentialing entities to resolve issues promptly.
- Submit and maintain payor contracts, working with leadership to negotiate rates and maintain payer relationships.

Requirements:
- Bachelor’s degree in Healthcare Administration, Business Administration, or related field (Master’s preferred).
- Minimum 4 years of healthcare credentialing experience, preferably in mental health or pediatric healthcare.
- Strong understanding of credentialing processes, NCQA, URAC, and other regulatory standards.
- Proficiency with credentialing platforms including CAQH and credentialing databases.
- Excellent organizational, communication, and interpersonal skills.
- Certification in Medical Staff Services (CMSS) or Certified Provider Credentialing Specialist (CPCS) is a plus.

Benefits:
- Flexible part-time schedule (20-25 hours/week)
- Opportunity to work remotely
- Competitive pay of $25/hr
- Collaborative and inclusive work environment

This position provides an opportunity to contribute to Backpack Healthcare’s mission of accessible and high-quality mental health care while ensuring our clinical staff remain fully credentialed and compliant.