Insurance Credentialing & Billing VA (Behavioral Health / Multi-State Telehealth)

Insurance Credentialing & Billing VA (Behavioral Health / Multi-State Telehealth)

About Us

Complexity Care? is a growing virtual mental health and metabolic health practice serving patients across multiple U.S. states. We focus on compassionate, human-centered care and are building modern systems to support high-quality telehealth services.

We are looking for a highly organized and proactive Virtual Assistant with experience in U.S. medical insurance credentialing and behavioral health billing to help support our expansion.

This is a long-term role with growth potential.

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Responsibilities

Insurance Credentialing

• Assist with provider enrollment and credentialing for commercial insurance plans
• Maintain CAQH profiles and provider documentation
• Track payer applications and follow up with insurance companies
• Support Medicare, Medicaid, Optum/UHC, Aetna, Cigna, BCBS, and behavioral health payer enrollment
• Monitor recredentialing deadlines and provider expirations
• Maintain organized credentialing spreadsheets and status updates

Billing & Revenue Cycle Support

• Review claim submissions and denials
• Verify insurance eligibility and benefits
• Assist with prior authorizations and referrals
• Track unpaid claims and payer responses
• Coordinate with billing platforms such as Alma, Headway, and direct payer portals
• Help organize EOBs and claim follow-up workflows

Administrative Support

• Organize provider documents and onboarding materials
• Maintain accurate spreadsheets and trackers
• Communicate professionally with insurance representatives
• Assist with workflow/process improvement as the practice grows

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Preferred Experience

• Prior experience with U.S. medical credentialing REQUIRED
• Behavioral health or psychiatry experience strongly preferred
• Familiarity with multi-state telehealth practices preferred
• Experience with CAQH, PECOS, NPPES, Availity, Optum, etc.
• Understanding of CPT/ICD-10 basics
• Excellent written English and communication skills
• Strong attention to detail and organization

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Tools We Use

• Google Workspace
• CharmHealth
• Alma
• Headway
• GoHighLevel
• Google Calendar
• ----------

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Ideal Candidate

You are:

• Extremely organized
• Independent and proactive
• Comfortable handling sensitive information
• Able to manage multiple moving parts
• Calm under pressure
• Interested in helping build long-term systems

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Hours & Pay

• Part-time to start (with opportunity to grow)
• Flexible schedule preferred with some EST overlap
• Compensation based on experience

When applying, please include:

1. Your experience with U.S. insurance credentialing
2. Which insurance payers/platforms you’ve worked with
3. Experience with behavioral health or telehealth
4. Your expected hourly rate
5. A brief summary of a difficult credentialing or denial issue you solved