
$0-$0 / yr
Salary
brazil
Region
ASAP
Start Date
Pearl Talent is a US-based start-up that helps the top 1% of talent worldwide land long-term roles at fast-growing companies in the US and EU.
Founded by Monty Ngan and Isaac Kassab, Pearl Talent helps operators all around the Philippines, Latin America, and South Africa get staffed into companies backed by Y Combinator, Sequoia, a16z, General Catalyst, and more.
We believe that even though opportunity isn’t created equal in the world, ambitious talent is.
Work From Anywhere in LATAM
Work Schedule: CST | 9:00 AM – 5:30 PM
Compensation Range: $1,800 USD/month based on experience
A US-based healthcare provider organization in the behavioral health space is looking for a Contracting and Credentialing Specialist to own the full lifecycle of provider credentialing and payer contracting.
The organization operates within the Applied Behavior Analysis and behavioral health sector, coordinating across multiple insurance payers and provider networks. The team prioritizes clean documentation, compliance, and operational reliability, and is ready to train the right hire on its internal systems and processes.
Day-to-day, this role maintains credentialing files, prepares and tracks credentialing and re-credentialing applications, reviews and negotiates payer contracts, and resolves enrollment and contracting discrepancies, with limited support to billing tasks. Success means providers stay fully credentialed, payer contracts remain current and compliant, and the revenue cycle runs free of credentialing-driven delays.
Requirements
Must-Have
2+ years of experience in healthcare contracting, credentialing, or revenue cycle management
Hands-on experience preparing, submitting, and tracking credentialing and re-credentialing applications with insurance payers and networks
Working knowledge of insurance verification, payer enrollment, and provider data management
Experience reviewing, negotiating, and managing payer contracts, including tracking expirations and renewal timelines
Proficiency with credentialing software platforms and Microsoft Office
Familiarity with both payer-side and provider-side healthcare operations
C1+ English (CEFR) for payer communication and contract negotiation
Nice-to-Have
Experience in Applied Behavior Analysis (ABA) or behavioral health settings
Working knowledge of CAQH, NPI registry, and insurance payer portals
Exposure to medical billing or claims follow-up within a revenue cycle team
Track record of process improvement in credentialing or contracting workflows
About Pearl Talent
Pearl works with the top 1% of candidates from around the world and connects them with the best startups in the US and EU. Our clients have raised over $5B in aggregate and are backed by companies like OpenAI, a16z, and Founders Fund. They're looking for the sharpest, hungriest candidates who they can consistently promote and work with over many years. Candidates we've hired have been flown out to the US and EU to work with their clients, and even promoted to roles that match folks onshore in the US.
Hear why we exist, what we believe in, and who we're building for:
Watch here: https://www.loom.com/share/863b8e426e6d48309aa8f4ea4c1c94cd
Benefits
Competitive Salary: Based on experience and skills
Remote Work: Fully remote—work from anywhere
Team Incentives: Recognition for maintaining 100% CRM hygiene and on-time reporting
Generous PTO: In accordance with company policy
Health Coverage for PH-based talents: HMO coverage after 3 months for full-time employees
Direct Mentorship: Guidance from international industry experts
Learning & Development: Ongoing access to resources for professional growth
Global Networking: Connect with professionals worldwide
If you’re empathetic, organized, and passionate about improving patient experiences through operational excellence, this role is for you. Apply now to help make specialized healthcare more accessible to patients across the U.S.