Credentialing Specialist
External
Charliehealth · WorldwidePrepare for this interview
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About the role
The Credentialing Specialist will be responsible for owning health plan enrollment applications across group and individual submissions for both Medicaid and Commercial payors. You will be responsible for owning states and health plans, ensuring that all new provider and health plan applications are completed and approved in a timely manner. Monitoring application progress and proposing solutions for resolving credentialing delays and rejections will be key aspects of your responsibilities. Your attention to detail and proactive approach will be essential in facilitating a smooth enrollment process. We're a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you're inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today.
Responsibilities
- Complete health plan enrollment applications for both group and individual submissions across Medicaid and Commercial payers.
- Communicate directly with providers to gather necessary information for credentialing application submissions.
- Ensure adherence to application requirements to guarantee all required information is submitted to health plans
- Follow up on outstanding enrollments through phone, email, and portal to expedite provider enrollment approval
- Monitor application progress and propose solutions for resolving credentialing delays and rejections
- Track application progress and follow-ups directly in Salesforce
Requirements
- Bachelor's degree
- 2+ years working in health plan enrollment is preferred
- Experience with Medicaid enrollment is preferred
- Work authorized in the United States and native or bilingual English proficiency
- Familiarity with and willingness to use cloud-based communication software-Google Suite, Slack, Zoom, Dropbox, Salesforce
Benefits
Additional Information
Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection-between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you.
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