Enrollment And Credentialing Solutions Manager

Summary

Join Rethink Behavioral Health, a leading provider of online research-based resources supporting individuals with developmental disabilities, as their Enrollment & Credentialing Solutions Manager. This role is key to the department's growth and involves overseeing daily operations, serving as a subject matter expert, and improving service quality. You will be the point of contact for customer communications, ensuring HIPAA compliance and implementing process improvements. The position requires significant experience in insurance billing, provider enrollment, and credentialing, along with strong leadership and communication skills. Remote opportunities are available in select states. Rethink offers a comprehensive benefits package including PTO, paid holidays, health benefits, and a 401k.

Requirements

• Minimum 2-5-year management experience
• Minimum 3-5-year Insurance Billing/Provider Enrollment & Credentialing experience
• Strong verbal and interpersonal skills
• Positive attitude
• Strong leadership qualities

Responsibilities

• Ensure strict HIPAA-compliant confidentiality with all client-related data
• Serve as the point of contact for all customer communications, including email responses and provider meetings
• Oversee the day-to-day operations of Rethink’s Enrollment & Credentialing services
• Serve as the Enrollment & Credentialing subject matter expert resource internally and externally
• Identify and implement opportunities to improve the quality of Enrollment & Credentialing services that result in timelines and customer satisfaction
• Assess existing processes to ensure Rethink’s Enrollment & Credentialing services are being provided based on payor current requirements and best practices
• Make recommendations to Rethink leadership to address and improve operational protocols for the Enrollment & Credentialing department that focus on an enhanced customer experience
• Develop and perform routine quality assurance audits to ensure timelines for Enrollment & Credentialing applications/contracts are being met
• Document and communicate updated payor billing requirements to Enrollment & Credentialing members
• Communicate internally with various departments within the Behavioral Health and RCM teams
• Manage account caseload as needed

Preferred Qualifications

• Bachelor’s degree preferred
• Minimum of 5 years management experience
• Minimum of 5-10 years of Insurance Billing/Provider Enrollment & Credentialing experience
• Customer service experience required
• Proficient using Microsoft Suite (Excel, Outlook, Word)
• Experience using billing software Tebra/Kareo

Benefits

• PTO after a 90-day introductory period
• Paid Holidays
• Generous Health, Dental & Vision benefits package
• 401k eligible after a year of employment