Remote Credentialing & Provider Enrollment Specialist

Описание вакансии

In the United States, one in five adults experience a mental health illness and over 12 million people have thoughts of suicide. Mental health crises can be some of the most difficult times in a person’s life, and over 17 million people seeking behavioral health care experience a delay in accessing care. Willow Health is on a mission to significantly improve this experience by expanding affordable access to high-quality, evidence-based intensive behavioral health care.

In order to make this mission a reality, we are building a virtual crisis care program that provides personalized, recovery-oriented care for people experiencing behavioral health crises.

Willow Health offers patients immediate access to evidence-based virtual crisis psychotherapy, medication management, certified peer coaching, care management, and around the clock  crisis coverage, while working to connect patients to the most appropriate next level of care. Our co-founding team of Cityblock and Oscar alums has two decades of collective experience working in healthcare and healthcare tech, and we are backed by Andreessen Horowitz.

As we expand into new markets and grow our provider network, we are seeking a Credentialing & Provider Enrollment Specialist to own and execute the credentialing and payer enrollment process across multiple states and payer types.

This role is responsible for ensuring that providers and organizational entities are properly credentialed and enrolled with payers to support timely market launches, uninterrupted care delivery, and compliant billing operations. The specialist will also design and maintain the systems used to track credentialing and enrollment activity as the organization scales.

Day to Day Responsibilities

• Own the end-to-end credentialing and payer enrollment process for behavioral health providers including psychiatrists, nurse practitioners, therapists, and certified peers across multiple states.
• Manage internal credentialing onboarding for newly hired providers by collecting and validating required documentation, including licensure, certifications, DEA registration, malpractice insurance, and other credentialing materials.
• Create and maintain provider directory profiles used across referral and patient access platforms (e.g., Zocdoc and similar directories), ensuring provider biographies, credentials, and practice information are accurate and up to date.
• Manage provider credentialing and re-credentialing activities, including directly with commercial payers, Medicare (PECOS), Medicaid and through use of other payer portals.
• Submit and maintain group and facility enrollments, provider roster updates, and location additionals or changes with payers as the organization expands.
• Ensure timely and accurate completion of  provider enrollments, terminations, and roster updates to support billing readiness and payer requirements.
• Design and maintain credentialing and enrollment tracking systems to monitor application status, renewal timeliness, and enrollment milestones as the company scales.
• Monitor and manage renewal deadlines for licenses, certifications, liability insurance, and other credentialing requirements to ensure continuous compliance.
• Maintain organized, accurate, and audit-ready credentialing records and provider files.
• Serve as the primary internal point of contact for credentialing status updates and collaborate closely with contracting, operations, and revenue cycle teams.
• Support internal and external credentialing audits and ensure documentation and processes meet regulatory and payer standards.
• Track credentialing progress to support timely state expansion and provider onboarding.

Success in this role will be measured by:

• Timely completion of provider credentialing and payer enrollments across multiple states.
• Efficient time-to-credential for new provider hires and state expansion launches.
• Accurate and well-documented credentialing records with strong audit readiness.
• Reliable tracking and monitoring processes that prevent credentialing lapses or missed renewal deadlines.
• Strong cross-team coordination that ensures providers are fully credentialed and ready to deliver billable services.

Our ideal candidate has

• 3+ years of experience credentialing for behavioral health across multiple states.
• Experience managing credentialing and payer enrollment across multiple states and payer types.
• Hands-on experience with PECOS, Availity, CAQH, and direct payer enrollment portals.
• Strong understanding of Medicare and Medicaid provider enrollment processes.
• Exceptional organizational skills and attention to detail.
• Ability to manage multiple credentialing workflows simultaneously while meeting deadlines.
• Experience building or improving credentialing tracking systems or operational workflows.
• Strong written and verbal communication skills with the ability to work cross-functionally across teams.
• Comfort working independently in a fast-moving and evolving environment.
• A desire to improve mental health care delivery.
• An openness to and ability to respond to constructive feedback.

Preferred Qualifications

• CPCS certification or equivalent hands-on credentialing and provider enrollment experience.
• Experience working in a virtual care or telehealth organization.
• Experience credentialing behavioral health providers including psychiatrists, nurse practitioners, therapists, and peer specialists.
• Experience supporting multi-state healthcare organization expansion.
• Ability to display a professional, positive attitude with strong interpersonal skills and communication skills required and must be able to work independently and collaboratively to meet deadlines.
• Highly detail-oriented, self-motivated, efficient, and strong organizational skills
• Excellent written and verbal communication skills
• Remote experience