Delegated Credentialing Specialist

Summary

Join Grow Therapy as a Delegated Credentialing Specialist and play a key role in improving mental healthcare access. You will review provider files, participate in credentialing committee meetings, lead audit file reviews, review collaborative agreements, collaborate on process improvements, stay updated on industry standards, and manage special projects. This role requires a CPCS certification and relevant experience or extensive experience in provider credentialing. Excellent communication, tech savviness, attention to detail, and confidentiality are essential. Grow Therapy offers a competitive salary, comprehensive health insurance, flexible work arrangements, generous time off, wellness benefits, and professional development opportunities.

Requirements

• Certified Provider Credentialing Specialist (CPCS) with at least two years of experience in Provider Credentialing OR at least three years of experience in Provider Credentialing
• Strong familiarity with credentialing processes, terminology and primary source verification resources; these include: CAQH, NPDB, PECOS, State Licensing, Accreditation and Certification agencies
• Excellent communication skills. You have the ability to be persuasive and credible with a wide variety of audiences both internal and external
• Maintain confidentiality and discretion in all communications on behalf of credentialing applicants
• Detail oriented. You understand the importance of strong attention to detail when scrubbing or reviewing files

Responsibilities

• Review our flagged provider files to make sure we have all of the necessary information before bringing an application in front of our Credentialing Committee
• Participate in facilitating the Credentialing Committee meetings
• Lead the charge on reviewing audit files and pull together the necessary materials
• Review and approve collaborative agreements, ensuring compliance with state-level regulations and Grow policies
• Collaborate with our operations teams to identify and facilitate process improvements
• Remain up-to-date on NCQA and industry standards. Propose necessary changes to current policies and procedures/operations
• Review and submit documentation and reports, per payor requirements
• Manage special projects as needed

Preferred Qualifications

Tech savvy. You’ve efficiently learned new software in the past, and you’re willing to learn HubSpot, Verifiable, Slack, and Excel if you don’t know how to use them already

Benefits

• The chance to drive impact within the mental healthcare landscape from day one
• Comprehensive health insurance plans, including dental and vision
• Flexible working hours and location (remote OR in-office, your choice!)
• Flexible Time Off
• Company-wide winter break
• Mental health mornings (2 hours each week)
• Team meditation
• Wellness Stipend
• In-office lunch and bi-weekly remote lunch on us!
• Continuous learning opportunities
• Competitive salary
• The opportunity to help build a rapidly scaling start-up organization by taking strong ownership of your work, mentorship, and our unbounded leadership opportunities