Credentialing Manager

Overview

Consultex Practice Management (CPM) is a leading revenue cycle management firm specializing in behavioral health and substance use disorder (SUD) facilities across the country. We provide full-spectrum billing, credentialing, and consulting services tailored to the unique needs of behavioral health providers.

We are seeking an experienced Credentialing Manager to join our team on a part-time, contract basis. This is a remote position with flexible hours and the potential to transition into a full-time role. The ideal candidate will have deep experience with provider and facility credentialing across commercial and Medicaid payers in multiple states, particularly in the behavioral health and SUD space.

• Oversee and manage credentialing and recredentialing processes for providers and facilities nationwide
• Complete and maintain payer applications, CAQH, NPPES, PECOS, and related systems
• Manage payer enrollments for ERA, EFT, and EDI connections
• Track application statuses and follow up with payers to ensure timely approvals
• Liaise with clients and internal teams to gather documentation and ensure smooth onboarding
• Maintain credentialing database and ensure timely alerts for expirables and renewals
• Provide strategic input on payer engagement and enrollment optimization

• Minimum 5 years of experience in healthcare credentialing
• Strong knowledge of credentialing processes for both individual providers and facilities, especially in the behavioral health and SUD sectors
• Familiarity with payer requirements and processes across multiple states
• Experience working with Medicaid and commercial insurance plans
• Highly organized, detail-oriented, and able to manage multiple deadlines
• Strong communication skills and a proactive, problem-solving mindset
• Comfortable working independently in a remote environment
• Experience with credentialing software or systems preferred

• Flexible, remote work environment
• Opportunity to grow into a full-time role
• Supportive, mission-driven team
• Work that makes a direct impact on behavioral health providers and their patients