Remote Credentialing Verification Organization Jobs

Location: Remote- Minnesota

Working Model: Remote-MN (must be onsite in New Brighton, MN at least twice a year)

Employee Type: 1.0 FTE

AtSagentBehavioral Health, we believe profound change is possible. As one of the largest behavioral health organizations in the Midwest-with 2,000+ team members across 80+ locations in five states-we offer the stability and resources to help you thrive.
Backed by more than 100 years of combined behavioral health experience,Sagentbrings together the trusted legacies of Ellie Mental Health, LifeWorks, Nystrom & Associates, Psychiatric Associates, Sandhill Counseling & Consultation, and Vantage Point.
Here,you'llfind a supportive, inclusive culture where you can hone your skills, collaborate with a fantastic team, and build a rewarding career focused on what matters most: helping others find hope. Guided by our HOPE values-Humility, Optimism, People-Centered, and Ethical Practice-we provide manageable caseloads, flexible schedules, and compensation options that work for you-from salary to production-based models.

As a Credentialing Specialist at Sagent Behavioral Health, you will be responsible for managing the credentialing and recredentialing process for behavioral health clinicians across multiple states, ensuring providers are properly enrolled with insurance payers and remain compliant with licensing and certification requirements. This role maintains provider demographic information, updates credentialing systems (such as CAQH and NPPES), coordinates with insurance companies, and supports onboarding and offboarding activities. The ideal candidate is highly organized, detail-oriented, experienced in healthcare administration, and able to handle sensitive information while meeting deadlines in a fast-paced environment.

Full Time Benefits:

• Medical, Dental, Vision
• 401k
• Long Term Disability
• Short Term Disability and Life Insurance
  

Responsibilities:

• Manage the credentialing and recredentialing process for clinicians across all programs, markets, and insurance payers.
• Submit provider enrollment applications to insurance companies before clinician start dates.
• Maintain and update provider demographic information with internal systems and insurance payers.
• Track credentialing progress, monitor application status, and follow up to ensure timely approvals.
• Manage provider records in credentialing databases, including CAQH, NPPES, and NPI information.
• Monitor licenses and certifications, obtain renewals, and ensure credentials remain compliant and current.
• Coordinate provider onboarding and offboarding activities, including adding and removing clinicians from insurance networks.
• Troubleshoot credentialing, billing, and insurance-related issues while maintaining strict HIPAA and confidentiality standards.

Requirements:

• High school diploma or equivalent required; additional healthcare administration experience preferred.
• Experience in healthcare operations, medical office administration, or a related business office environment.
• Previous credentialing experience preferred, with knowledge of provider enrollment and insurance payer processes.
• Strong communication, organization, time management, and attention-to-detail skills, with the ability to prioritize multiple tasks.
• Proficiency in Microsoft Office (Word, Excel, Outlook, Teams, SharePoint, OneDrive, Adobe) and the ability to work independently while maintaining strict HIPAA and confidentiality standards.

Compensation:

Hourly Rate: $21.00-$22.00

*Actual compensation may bedeterminedbyvarious factorssuch as education, experience, skillset, internal equity,scheduleand/or location.

* Employees in these positions are W2.

SagentBehavioral Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.