RethinkFirst is hiring a
Enrollment & Credentialing Solutions Manager

Summary

The job is for an E&C (Enrollment & Credentialing) Solutions Manager at Rethink Behavioral Health, a subsidiary of Rethink First. The role involves managing the Enrollment & Credentialing department and ensuring best customer experience. Remote opportunities are available in specific states.

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
• 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
• Communication 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