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Wellnite

U.S Provider Credentialing Specialist (Remote)

3-5 Years
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  • Posted 16 hours ago
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Job Description

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

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About Company

Job ID: 136229647