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Pearl Talent

Remote Contracting and Credentialing Specialist for Mental Health Care Company

Pearl Talent
Dominican RepublicRemote Today

Work From Anywhere in LATAM

Work Schedule: CST | 9:00 AM – 5:30 PM

Compensation Range: $1,800 USD/month based on experience

A US-based healthcare provider organization in the behavioral health space is looking for a Contracting and Credentialing Specialist to own the full lifecycle of provider credentialing and payer contracting.

The organization operates within the Applied Behavior Analysis and behavioral health sector, coordinating across multiple insurance payers and provider networks. The team prioritizes clean documentation, compliance, and operational reliability, and is ready to train the right hire on its internal systems and processes.

Day-to-day, this role maintains credentialing files, prepares and tracks credentialing and re-credentialing applications, reviews and negotiates payer contracts, and resolves enrollment and contracting discrepancies, with limited support to billing tasks. Success means providers stay fully credentialed, payer contracts remain current and compliant, and the revenue cycle runs free of credentialing-driven delays.

Requirements

Must-Have

  • 2+ years of experience in healthcare contracting, credentialing, or revenue cycle management
  • Hands-on experience preparing, submitting, and tracking credentialing and re-credentialing applications with insurance payers and networks
  • Working knowledge of insurance verification, payer enrollment, and provider data management
  • Experience reviewing, negotiating, and managing payer contracts, including tracking expirations and renewal timelines
  • Proficiency with credentialing software platforms and Microsoft Office
  • Familiarity with both payer-side and provider-side healthcare operations
  • C1+ English (CEFR) for payer communication and contract negotiation

Nice-to-Have

  • Experience in Applied Behavior Analysis (ABA) or behavioral health settings
  • Working knowledge of CAQH, NPI registry, and insurance payer portals
  • Exposure to medical billing or claims follow-up within a revenue cycle team
  • Track record of process improvement in credentialing or contracting workflows

About Pearl Talent

Pearl works with the top 1% of candidates from around the world and connects them with the best startups in the US and EU. Our clients have raised over $5B in aggregate and are backed by companies like OpenAI, a16z, and Founders Fund. They're looking for the sharpest, hungriest candidates who they can consistently promote and work with over many years. Candidates we've hired have been flown out to

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About the company

Pearl Talent

Pearl Talent

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