NY PMHNP Insurance Credentialing Specialist Needed

$250-750 USD

Closed

Posted about 1 month ago

$250-750 USD

Paid on delivery

I run a New York–based outpatient tele-psychiatry group and need a credentialing specialist who can take our Psychiatric Mental Health Nurse Practitioners from zero to fully paneled with the major insurers we plan to work with. Our PMHNPs have been credentialed before, but new PMHNP are not, so every application will be from scratch. Target payers Fidelis Care, HealthPlus (Carelon / Anthem), Aetna, Cigna, BCBS / Anthem, Optum / UnitedHealthcare, and Humana. Preferred workflow All provider data is already in CAQH ProView, so I’d like you to build each application from that profile, keep it synced, and handle any re-attestations. I’m comfortable if you use additional tools on your end. Communication Status updates by email are essential. A quick weekly summary works, with ad-hoc notes whenever a payer asks for something. Deliverables • Completed, payer-specific applications for every insurer listed, submitted on our behalf • Documentation of submission confirmation numbers or tracking IDs • Ongoing follow-up with each payer until approval is secured • Weekly email status reports and immediate alerts for any deficiencies • Final approval letters or portal screenshots showing active participation dates If you have a proven record of getting New York mental-health providers onto these panels efficiently and can commit to clear, timely communication, I’m ready to get started right away.

Insurance

Billing

Project ID: 40516226

About the project

4 proposals

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Active 21 secs ago

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4 freelancers are bidding on average $388 USD for this job

@Kmariesandoval

Hello, I have over 20 years of healthcare and behavioral health experience, including extensive provider credentialing, payer enrollment, contracting support, and insurance relations. I have credentialed and enrolled providers with Medicaid, Medicare, managed care organizations, and commercial payers nationwide, including behavioral health and telehealth practices. I am highly experienced with CAQH ProView management, payer application submission, follow-up, re-attestations, tracking approvals, and resolving deficiencies. I understand the credentialing requirements for PMHNPs and can manage the entire process from initial application through active participation. My approach is organized, proactive, and communication-focused, with weekly status updates and immediate notification of payer requests. I am prepared to take ownership of the credentialing process and help your New York tele-psychiatry practice efficiently secure participation with your target payers. I look forward to discussing your project.

$500 USD in 30 days

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(0 reviews)

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@Abhishek018abhi

Hello, I would be happy to assist with credentialing your PMHNP providers for the listed New York insurance payers. I have experience working with provider enrollment, insurance verification, CAQH profile management, payer portals, and communicating directly with insurance representatives. I am familiar with verifying provider participation, submitting applications, tracking credentialing status, and following up until enrollment is complete. For this project, I will: Complete and submit payer-specific credentialing applications. Track every submission and maintain confirmation numbers. Follow up regularly with each payer until approval. Provide weekly progress reports and immediate updates if additional documentation is requested. Deliver approval confirmations and active participation details. I understand that timely communication and attention to detail are critical in credentialing, and I am committed to providing both throughout the project. I look forward to discussing your workflow and helping your providers become credentialed as efficiently as possible. Thank you for your consideration. Best regards, Abhishek

$300 USD in 7 days

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@lanoistrick

Hello, With 30 years of experience in medical billing and 12 years of credentialing, including 15 years running my own remote medical billing business, I bring a deep understanding of the revenue cycle, payer requirements, and the meticulous attention to detail this role demands. My background aligns closely with your needs: - Credentialing Expertise: I have successfully managed provider enrollment, re-credentialing, and CAQH profile maintenance for multiple providers over the years. My experience includes navigating payer-specific requirements and resolving delays to ensure timely approvals. - Payer Proficiency: My work in medical billing has required extensive interaction with Medicare, Medicaid and commercial payers, ensuring compliance with state-specific regulations. I am confident in adapting this knowledge credentialing frameworks. - Organizational Excellence: I maintain rigorous systems for tracking licenses, certifications, and insurance renewals, ensuring no deadlines are missed. My proactive approach ensures providers remain in good standing with all payers. - Technical Adaptability: While my current systems include Medisoft, CollaborateMD, AdvancedMD, TherapyNotes, Office Ally and Practice Fusion. I would welcome the opportunity to discuss how my experience can support your providers’ credentialing needs. Thank you for considering my application. Best regards, Lanoi S.

$500 USD in 7 days