Credentialing Support Specialist

Job Description

Job Description

The Credentialing & Contracting Specialist supports the agency’s credentialing and payer contracting processes to ensure clinicians and programs are enrolled accurately and in a timely manner. This role focuses on Medicaid and commercial provider enrollment, facility credentialing, tracking revalidations, and maintaining accurate documentation. The position supports organizational growth, compliance, and timely billing.

Responsibilities

• Complete payer enrollments and support onboarding of new licensed staff
• Track and maintain licenses, certifications, and credentialing documents
• Collaborate with Utilization Management to ensure staff and sites are properly credentialed
• Maintain credentialing systems (CAQH, NCTracks, commercial payers) and ensure data accuracy
• Follow up with payers on application status, resolve issues, and monitor progress
• Communicate updates with leadership, billing, finance, and clinical teams
• Track revalidation deadlines and ensure compliance
• Maintain reliable attendance and adherence to schedule

Requirements

High school diploma or equivalent required; Bachelor’s degree preferred.

Minimum of 1–2 years of experience in credentialing or commercial payor contracting, preferably in behavioral health.

Working knowledge of commercial insurance networks (e.g., BCBS, UHC, Aetna, Cigna) and associated credentialing processes.

Experience with CAQH, NC Tracks, NPPES, and various payer portals preferred.

In-depth understanding of Tailored Plan Medicaid, Medicare, and provider credentialing based on behavioral health service definitions.

Strong organizational skills with ability to track multiple deadlines, follow up with payors, and maintain accurate licensed provider databases.

Freedom House Recovery Center (FHRC) is a non-profit behavioral health care agency that provides a broad continuum of person-centered, comprehensive services for children, adolescents, adults, and families managing behavioral health disorders or addiction. Freedom House has provided hope and healing to people of all ages, from all walks of life, for over 40 years.

Company Description

Freedom House Recovery Center (FHRC) is a non-profit behavioral health care agency that provides a broad continuum of person-centered, comprehensive services for children, adolescents, adults, and families managing behavioral health disorders or addiction. Freedom House has provided hope and healing to people of all ages, from all walks of life, for over 40 years.