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Delegated Credentialing Specialist

extra holidays - fully flexible
Remote: 
Full Remote
Salary: 
73 - 90K yearly
Work from: 
United States

Offer summary

Qualifications:

Certified Provider Credentialing Specialist (CPCS), 2-3 years experience in Provider Credentialing, Familiarity with credentialing processes and tools, None.

Key responsabilities:

  • Review flagged provider files for compliance
  • Participate in Credentialing Committee meetings
  • Review audit files and necessary materials
  • Collaborate on process improvements
Grow Therapy logo
Grow Therapy Scaleup http://growtherapy.com
201 - 500 Employees
About Grow Therapy
We believe that therapy is an essential part of becoming the best versions of ourselves. No matter who you are or where you are starting, it’s more than support through challenge - it’s the foundation to grow, heal and lead lives that are more resilient, empathic, hopeful and powerful. Everyone should have the opportunity to receive personalized therapy, and therapists should be able to serve the communities they care about most, not just the 10% of people who can afford to pay out of pocket. Our mission is to get more people into therapy by bridging the gap between therapists and people seeking mental health care. Grow Therapy empowers independent therapists to launch and grow thriving in-network private practices by enabling them to tap into large scale credentialing, referrals, administrative and community support enabled by our passionate team and technology. When therapists no longer have the hassle of mundane admin tasks like billing and insurance claims or the limitations of out-of-pocket-only payment options, they can provide care to the communities who need it most! To achieve our lofty ambitions, we’re building an ambitious team of entrepreneurs and mission-driven go-getters. Our founders come from Harvard Medical School, Stripe, and Blackstone, and bring Grow’s mission to life from the inside-out, promoting holistic wellness for all team members. We balance our determination with a culture that champions well-being, from unlimited PTO and a Winter Break to Mental Health Mornings and learning and wellness stipends. Grow is backed by top VCs and angel investors, including leaders from SignalFire, Village Global, Airbnb, Nurx, PatientPing, and Blackstone. We have a long way to go to maximize our impact, but if we do our job well, in the coming years we will make a difference in countless lives. We hope you’ll join us!
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Job description

About us: 

Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Following the mass increase in depression and anxiety, the need for accessibility is more important than ever. To make our vision for mental healthcare a reality, we’re building a team of entrepreneurs and mission-driven go-getters. Since launching in February 2021, we’ve empowered more than ten thousand therapists and hundreds of thousands of clients across the country and insurance landscape. We’ve raised more than $178mm of funding from Sequoia Capital, Transformation Capital, TCV, SignalFire, and others.

About The Role

 

We’re looking for an experienced Delegated Credentialing Specialist who is passionate about improving the landscape for mental healthcare. In this role, you’ll play a key role in getting our providers in-network with some of the country’s largest health plans. Responsibilities include:

 

  • 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 

 

You’d be a great fit if...

  • You’re a credentialing expert. You’ve prepped for delegated committees before, and you meet the following 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
  • You have excellent communication skills.  You have the ability to be persuasive and credible with a wide variety of audiences both internal and external.
  • You’re 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.
  • You can maintain confidentiality and discretion in all communications on behalf of credentialing applicants.
  • You’re detail oriented. You understand the importance of strong attention to detail when scrubbing or reviewing files.

The salary range for this position is $73,102 - $90,000 USD.

If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume. 

Note: Please upload your resume in PDF format 

Benefits

  • The chance to drive impact within the mental healthcare landscape from day one
  • Comprehensive health insurance plans, including dental and vision
  • Our dedication to mental health guides our culture. Wellness benefits include (but are not limited to):
    • 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 biweekly 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 

#LI-REMOTE

Grow Therapy is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. 

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Credential ProvidersPhysician CredentialingPrimary Source InformationRocksDBEstablishment LicensingHubSpot CRMSlack (Software)

Other Skills

  • Microsoft Excel
  • Client Confidentiality
  • Detail Oriented
  • Communication
Are you interested?

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