About the job
About Sailor Health
Sailor Health is dedicated to addressing the mental health crisis affecting older adults in the United States. With seniors experiencing the highest suicide rates of any demographic and receiving the least mental health care, our mission is crucial. By 2030, over 65 million seniors will represent nearly a quarter of the U.S. population, presenting one of the most significant challenges in healthcare.
We are building a platform for senior mental health that connects older adults, therapists, healthcare professionals, and insurance providers. Our AI-driven operating system facilitates seamless care coordination, real-time clinical insights, and insurance billing, allowing therapists to focus more on delivering compassionate care.
As we rapidly expand, we have partnered with Medicare to provide affordable and exceptional psychotherapy to hundreds of patients.
⭐ About the Role
Location: Remote - US or Canada based only
Title: Credentialing Specialist
Salary Range: $40,000 - $55,000
We are seeking a full-time remote Credentialing Specialist to spearhead and support all facets of provider credentialing at Sailor Health. This role involves overseeing the complete enrollment of providers and practice locations in Medicare via PECOS, managing credentialing with Medicare Advantage health plans, maintaining accurate CAQH profiles, establishing standard operating procedures (SOPs), and enhancing credentialing workflows. You will collaborate closely with our leadership team to innovate our processes and systems.
Your Key Responsibilities
Manage provider enrollment & credentialing: Lead the entire credentialing lifecycle for new and existing providers and practice locations — encompassing Medicare (PECOS), Medicare Advantage plans, and other payers.
Maintain provider data: Ensure CAQH profiles are complete, current, and accurately reflect provider credentials and practice information.
Optimize workflows: Evaluate current credentialing processes, identify inefficiencies, and implement improvements using Airtable, automation tools, and best practices.
Develop SOPs: Create, maintain, and refine standard operating procedures for credentialing functions, integrating them into operational practice.
Monitor compliance: Track credentialing statistics and ensure adherence to relevant regulations.

