Provider Enrollment Specialist

Summary

Join Grow Therapy as a Provider Enrollment Specialist and play a key role in improving access to mental healthcare. You will manage the credentialing process for 10-20 payors, ensuring timely submissions and accurate data. This involves monitoring applications, communicating with payors, conducting data reviews, and maintaining documentation. You will also assist in onboarding new payors and developing standardized submission protocols. The ideal candidate is a behavioral health enrollment expert with excellent communication and problem-solving skills, comfortable in a fast-paced environment. Grow Therapy offers a competitive salary, comprehensive benefits, and the opportunity to make a significant impact.

Requirements

• Be a behavioral health enrollment expert
• Have experience communicating with payors directly
• Be great at problem perception and escalating when you need help
• Have excellent communication skills
• Know how to hold people accountable
• Be tech-savvy
• Be comfortable with a fast-paced, high-growth environment

Responsibilities

• Ensure providers are credentialed timely by monitoring and maintaining the end-to-end submission process for 10-20 payors
• Monitor submission processes to ensure all applications are submitted within SLA. Understand and update submission protocols as needed. Manage Virtual Assistants/BPO throughout this process
• Monitor the follow-up process for applications and communicate with payors to ensure applications stay on track
• Conduct regular reviews to validate the accuracy of internal credentialing data against payor data
• Maintain documentation for each process to ensure smooth operations
• Work with the Revenue Cycle Management team on any Credentialing-related claim denials
• Assist in building out new payor operations as we onboard new payors
• Create the Submission Protocol for new payors so that applications can be submitted in a standardized format
• Work with the payor to understand the best way to follow up on applications and document the process accordingly
• Determine the best way to regularly review the accuracy of internal credentialing data
• Provide a synthesis of each payor’s credentialing operations to the Manager, Provider Enrollment as needed
• Manage special projects as needed

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