Wellnite is a U.S.-based digital mental health company expanding access to high-quality care across the United States. We work closely with insurance networks to ensure our providers are credentialed accurately, efficiently, and compliantly.
Credentialing is a core operational function at Wellnite. We value professionals who are organized, reliable, proactive, and accountable, and who take ownership of their work in a fully remote environment.
Role Overview
We are hiring an experienced U.S. Healthcare Credentialing Specialist to manage commercial payer credentialing for U.S.-based providers.
This role is hands-on and execution-focused. You will be responsible for completing credentialing submissions independently, maintaining accurate trackers, and following up with insurance payers as needed.
This is a fully remote role, however full availability during U.S. working hours is required. We do not support unexplained absences or disappearing during scheduled shifts.
Scope of Work (Primary Responsibilities)Credentialing Submissions
- Manage CAQH ProView profiles (setup, updates, attestations)
- Submit and track commercial insurance applications for:
- BCBS
- Aetna
- Cigna
- Humana
- Other insurances
- Ensure all applications are complete, accurate, and submitted on time
- Maintain proper documentation for each provider
Payer Follow-Up & Tracking
- Perform timely follow-ups with insurance payers via portals, email, and phone
- Track application status, deficiencies, and effective dates
- Escalate stalled applications appropriately
- Maintain accurate credentialing trackers
Productivity Expectations (Weekly Metric)
- Weekly quota: Complete credentialing submissions for 2530 providers per week
- Scope per provider includes:
- CAQH
- BCBS
- Aetna
- Cigna
- Humana
All submissions must be:
- Accurate
- Complete
- Audit-ready
- Quality is expected incomplete or incorrect submissions do not count toward quota
Required Qualifications
- 3+ years of hands-on U.S. provider credentialing experience
- Direct experience with:
- CAQH ProView
- Commercial payer portals (BCBS, Aetna, Cigna, Humana)
- Strong understanding of payer application workflows
- Excellent written and spoken English
- Highly organized and detail-oriented
- Self-starter able to work independently
- Comfortable meeting productivity targets without micromanagement
- Reliable internet connection and professional remote setup
Work Expectations
- Must work U.S. business hours
- Must be online and responsive during scheduled shifts
- No unexplained absences or disappearing during work hours
- Remote work requires accountability and consistent communication
Compensation
- Competitive USD-based monthly rate
- Based on experience and performance
- Long-term opportunity with potential for expanded responsibilities
This Role Is NOT a Fit If:
- You exaggerate credentialing experience
- You need constant supervision
- You are uncomfortable with payer follow-ups
- You struggle to meet productivity expectations
- You cannot maintain consistent availability during U.S. hours