Credentialing Lead Jobs

Why Psychplus?

The current delivery model for mental health care is broken in this country. Psychplus set out on a mission to reimagine how mental health care is delivered to folks who need it. Our goal is to provide a digital-first, modern approach to psychiatry and therapy. We provide care both in-person at our offices across Texas and virtually so our patients can be seen at their convenience.

Through a combination of exceptional medical and psychological care and best-in-class technology, we provide an unparalleled approach that serves our patients needs in an integrated way. Join us in our mission to ensure that every person has access to affordable and accessible mental health care.

About The Role

The Credentialing and Enrollment Lead is part of the Revenue Cycle Department and reports to the Revenue Cycle Senior Manager. This role is essential to ensuring that our Clinicians are credentialed at our local facilities/hospitals along with completing all payer enrollments.

Responsibilities

• Maintain compliance with NCQA standards and guidelines
• Initiate the credentialing process for Clinicians that are joining PsychPlus
• Maintenance of CAQH Proview
• Oversee the Credentialing and Enrollment Specialist and monitor individual/department productivity
• Monitoring of all Clinician expirables to include: licenses, board certifications, professional liability insurance, hospital privileges, and payer revalidations
• Responsible for gathering and submitting necessary documentation to the local facilities/hospitals for initial and reappointment applications prior to the expiration date
• Assist with Credentialing Meeting preparation and post meeting functions
• Aid in the development of proper reporting systems and automation
• Develop and implement process improvement to gain efficiencies
• Ensure that Clinician payer enrollment applications are submitted timely and accurately

Requirements

• Experience in healthcare credentialing across Behavioral Health specialties is strongly preferred
• Strong proficiency in Google Suite
• Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and/or suffering patients
• Provider Group or Health Plan experience required
• Must have the ability to consistently meet performance standards of production, accuracy, completeness and quality
• Ability to learn quickly
• Forward looking thinker, who actively seeks opportunities and proposes solutions
• Ability to organize and prioritize work and manage multiple priorities simultaneously to meet deadlines
• Willingness to pitch in and assist others with projects and share responsibilities, as needed
• Quiet work-from-home environment
• Excellent organizational and time management skills, ability to multitask, high attention to detail, and follow-up skills
• Bachelor’s degree preferred
• Highly resourceful self-learner, with the ability to operate effectively independently
• Minimum of 3 year’s experience in within a Credentialing or Payer Enrollment Coordinator

Perks

Our mentality is to find the best, attract the best, and pay the best talent—which is why we prioritize quality over quantity of hires. While we offer zero-stress medical, dental, and vision coverage, competitive salaries, and a generous PTO policy, we're way more excited to tell you about a few "perks” that are unique to Psychplus. We’ve spent time thinking through what it means to be a modern mental health company and how we can better align these additional perks with our mission and values.

Additional Information

The expected base pay for this role will be between $43,000 and $60,000 per year at the commencement of employment. However, base pay will be determined on an individualized basis and will be impacted by location and years of experience. Further, base pay is only part of the total compensation package, which, depending on the position, may also include incentive compensation, discretionary bonuses, other short and long-term incentive packages, and other Psychplus Health-sponsored benefits.

So—what do you think?

If you’ve made it this far, well, we’re excited to meet you too. Just one more thing that we want you to remember: we pride ourselves on our meritocratic, performance-driven culture. We are a startup and move at the speed of light. You might be required to wear multiple hats at any given time. There’s no room for complacency. Your scope of responsibility and opportunity to make a difference will be uncapped at Psychplus, but we need your commitment that you will work tirelessly for our patients, parents, and partners. At the end of day, our team is committed to helping you succeed at Psychplus because when you succeed, our patients succeed, and we get one step closer to solving the mental health crisis. We’re hopeful that this role will give you the experience to go and do whatever you want in life but the fulfillment to make you never want to leave our team. We look forward to solving the mental health crisis, together.

Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Psychplus, please go directly to our Careers Page: https://psychplus.com/careers

Psychplus will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Psychplus will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Psychplus will only be sent from @psychplus.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.

At Psychplus, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide accessible and affordable mental healthcare to every one of our patients.

Psychplus applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.