Payer Enrollment Associate

Summary

Join Spring Health as a Payer Enrollment Associate and contribute to our mission of eliminating barriers to mental healthcare. Reporting to the Associate Director of Credentialing, you will manage CAQH enrollments, oversee provider roster management, and support billing operations. This role is crucial for ensuring timely and accurate provider enrollment while maintaining compliance. You will collaborate with various teams, including Revenue Cycle Management and Payer Management, to streamline workflows and enhance operational efficiency. The ideal candidate possesses 2+ years of experience in credentialing or healthcare administration and a strong understanding of CAQH processes and payer requirements. Spring Health offers a competitive total rewards package, including a comprehensive benefits program.

Requirements

• 2+ years of experience in credentialing, enrollment, or healthcare administration
• Strong knowledge of CAQH enrollment processes and payer credentialing requirements
• Experience with provider roster management and data integrity
• Detail-oriented with strong organizational and data management skills
• Ability to track and follow up on payer applications efficiently
• Strong collaboration skills, with experience working across credentialing, billing, and compliance teams

Responsibilities

• Manage CAQH enrollments and attestations, ensuring providers are accurately registered and compliant with payer requirements
• Oversee roster management, ensuring provider data is accurate and up to date in credentialing systems
• Support billing and enrollment operations, collaborating with the Revenue Cycle Management team to resolve issues
• Assist with payer application submissions, tracking statuses, and following up as needed
• Work closely with the Credentialing Manager, Payer Management to ensure seamless execution of credentialing workflows
• Maintain compliance with NCQA and payer credentialing standards, identifying and resolving discrepancies
• Provide administrative support for credentialing audits and reporting, ensuring accuracy and completeness of provider data

Preferred Qualifications

• Experience working in a managed care, payer enrollment, or credentialing environment
• Familiarity with Medicare, Medicaid, and managed care provider enrollment
• Experience using credentialing and enrollment systems

Benefits

• Health, Dental, Vision benefits start on your first day at Spring. You and your dependents also receive access to One Medical accounts HSA and FSA plans are also available, with Spring contributing up to $1K for HSAs, depending on your plan type
• Employer sponsored 401(k) match of up to 2% for retirement planning
• A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents
• We offer competitive paid time off policies including vacation, sick leave and company holidays
• At 6 months tenure with Spring, we offer parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents
• Access to Noom , a weight management program—based in psychology, that’s tailored to your unique needs and goals
• Access to fertility care support through Carrot , in addition to $4,000 reimbursement for related fertility expenses
• Access to Wellhub ,  which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription
• Access to BrightHorizons , which provides sponsored child care, back-up care, and elder care
• Up to $1,000 Professional Development Reimbursement a year
• $200 per year donation matching to support your favorite causes