California Credentialing Specialist (Medi-Cal, Anthem CA, Kaiser Experience Required)

Remote Full-time
About Us: We are a growing mental health clinic committed to delivering exceptional patient care through innovative and collaborative clinical services. As we expand our partnerships across California, we are seeking a detail-oriented and experienced Medical Credentialing Specialist to join our team. This role is critical in ensuring timely and accurate onboarding of behavioral health providers with payers across the state. Position Overview: The Credentialing Specialist will manage and execute all aspects of the credentialing process. The ideal candidate has hands-on experience with behavioral health credentialing and is familiar with major California payers including Medi-Cal (California Medicaid), Anthem Blue Cross of California, and Kaiser Permanente. You should be confident navigating the submission, follow-up, and troubleshooting processes unique to these plans. Key Responsibilities: • Prepare, submit, and track credentialing and re-credentialing applications for behavioral health providers across Medi-Cal, Anthem CA, and Kaiser. • Monitor credentialing timelines and proactively follow up with payers to avoid delays. • Serve as the primary point of contact for credentialing-related communications with health plans and internal teams. • Identify and escalate issues or delays as needed, and support resolution efforts to ensure timely approvals. • Stay current with changes in payer policies and credentialing requirements specific to behavioral health. Requirements: • Minimum 2 years of credentialing experience in a healthcare setting. • Direct experience credentialing providers with Medi-Cal, Anthem Blue Cross of California, and Kaiser Permanente. • Experience credentialing behavioral health providers • Strong understanding of payer-specific requirements, CAQH, and NPPES systems. • Excellent attention to detail, organizational skills, and follow-through. • Proficiency in Google Workspace (Docs, Sheets) or MS Office Suite. • Strong communication skills and ability to work independently and collaboratively. Compensation: Competitive hourly rate or salary, commensurate with experience. Flexible scheduling available. Job Types: Part-time, Contract Pay: $22.86 - $27.00 per hour Schedule: • Choose your own hours Work Location: Remote Apply tot his job
Apply Now →

Similar Jobs

Kelly Services Associate

Remote Full-time

Kelly Services Materials Database Analyst/Coordinator Remote in Raynham, Massachusetts

Remote Full-time

Clinical Nurse Auditor, HEDIS •Remote •

Remote Full-time

Call Center Representative / Pharmacy Tech Support (Remote-Friendly anywhere in the US)

Remote Full-time

Entry-Level Remote Data Entry Specialist for South Airlines – No Experience Required, Competitive $30/Hour Compensation, and Comprehensive Training Provided

Remote Full-time

Pharmacy Call Center Rep (Remote)

Remote Full-time

Bookkeeper - Remote

Remote Full-time

Part-Time Bookkeeper (QuickBooks + AI Tools + Section 280E Experience)

Remote Full-time

Remote LGBTQ Hotline Therapist EMPACT

Remote Full-time

Chat Support Associate – Remote Customer Experience Expert – Veterinary E-commerce Platform

Remote Full-time

Security Operations Engineer

Remote Full-time

Data Entry Specialist (FedEx Jobs)

Remote Full-time

Bilingual Case Manager (Remote Flexible, Spanish Speaking)

Remote Full-time

Experienced D2D Sales Agents Needed - Verizon Fios

Remote Full-time

Remote Position-Customer Service Experience Preferred

Remote Full-time

Data Engineering Manager, Analytics

Remote Full-time

Data Entry Clerk / Typing - Work From Home

Remote Full-time

[Remote] Implementation Coordinator

Remote Full-time

[Remote] Planning and Reporting Analyst

Remote Full-time

Experienced Data Entry Specialist for Amazon - Part-Time Work From Home Opportunity with No Prior Experience Required

Remote Full-time
← Back to Home