Credentialing Specialist - For Behavioural Health Providers and Therapist USA

Citadel Healthcare Management (PVT) LTD. provides healthcare management services for practices across North America. Our dedicated team supports a wide range of medical administration tasks, working collaboratively across multiple disciplines.

Our mission is to offer employees meaningful opportunities to apply their expertise, grow in their careers, and contribute to the organization’s ongoing success.

We are committed to creating a workplace where employees feel valued, supported, and motivated. By fostering a collaborative and engaging environment, we ensure that every contribution is recognized and appreciated.

At Citadel, diversity and inclusion are at the heart of our culture. We welcome individuals from all backgrounds - regardless of gender, ethnicity, age, religion, lifestyle, or disability - and embrace the unique perspectives and experiences they bring. Through teamwork, innovation, and continuous professional development, we empower our employees to thrive and drive progress.

As Credentialing Specialist - of CHM you will be liable to perform the following job duties:

Essential Duties and Responsibilities:

Key Responsibilities

• Manage the full credentialing and re-credentialing process for behavioral health providers and therapists.
• Prepare, review, and submit applications to insurance panels, Medicaid/Medicare, and other payer networks.
• Verify provider qualifications, licenses, certifications, and background checks.
• Maintain accurate credentialing records in compliance with NCQA (National Committee for Quality Assurance) standards and CMS (Centers for Medicare & Medicaid Services) regulations.
• Track application status, follow up with payers, and resolve discrepancies.
• Collaborate with HR, compliance, and clinical teams to ensure timely provider onboarding.
• Monitor expirations of licenses, certifications, and re-credentialing deadlines.

Benefits

• Competitive salary
• Health insurance
• Paid time off and holidays
• Opportunities for professional growth and advancement
• Supportive, mission-driven work environment

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, or related field (preferred).
• 2–4 years of experience in healthcare credentialing, preferably in behavioral health or outpatient settings.
• Strong knowledge of insurance payer requirements, CAQH, NPI, and credentialing standards.
• Excellent organizational skills with attention to detail and deadlines.
• Strong communication and problem-solving abilities.
• Proficiency with credentialing software and MS Office Suite.

Work from office only