Benefits:

Employee Assistance Program

401(k) matching

Dental insurance

Free food & snacks

Health insurance

Paid time off

Vision insurance

Are you doing what you love? We are!

Pacific Neuropsychiatric Specialists (PNS) is a leading mental health medical group dedicated to providing comprehensive and compassionate care for a wide array of mental health conditions. From ADHD and depression to anxiety, bipolar disorder, schizophrenia, and dementia, our services encompass both adolescent and adult psychiatry, medication management, and psychotherapy.

At PNS, our team is the heartbeat of our organization, and we recognize that their success directly translates to the quality of care we provide. We are committed to fostering a dynamic and supportive work environment where every team member finds their role not only rewarding but also professionally enriching and impactful. We actively invest in our employees' growth through ongoing development opportunities, ensuring you can thrive in your career.

Position Summary

We are seeking a highly organized and detail-oriented Credentialing & Authorization Coordinator to join our team. This role is essential to ensuring our providers are properly enrolled with insurance payers and that patient services are authorized efficiently and accurately. Collaborating closely with our billing, clinical, and administrative teams, you will support credentialing and prior authorization workflows for medication management and neuropsychological testing services, playing an essential role in our mission to deliver exceptional patient care.

Key Responsibilities:

Credentialing

Prepare and manage credentialing and recredentialing applications (commercial, Medi-Cal, Medicare Advantage, IPA plans)

Maintain CAQH profiles and payer directories

Follow up on enrollment status

Coordinate provider onboarding with HR

Maintain organized credentialing records

Support rosters, audits, and special projects

Authorizations

Submit and track prior authorizations for psychiatry services

Use payer portals, fax, or phone to request approvals

Track expirations and renewals

Record authorization details in EMR and billing system

Qualifications

1–2+ years credentialing and/or prior auth experience (mental health preferred)

Familiarity with CAQH, PECOS, Availity, and payer portals

Understanding of insurance types (HMO, PPO, Medi-Cal, Medicare Advantage, IPAs, etc.)

Strong attention to detail and time management skills

Skilled in both Google Workspace and Microsoft Office applications

Excellent communication skills, both written and verbal

Preferred

Strong understanding of payer processes and EMR systems

Familiarity with behavioral health and California networks preferred

Knowledge of authorizations for medication management and neuropsych testing

Are You Ready to Make a Difference?

If you're seeking a fulfilling position within a mission-driven organization where your contributions will significantly enhance patient access to care, we want to hear from you.

Join us today and be a part of our transformative journey in redefining mental health care in Southern California. Your skills can make a real impact!