Provider Enrollment Specialist Jobs

About us:

We’re on a mission to fundamentally transform mental healthcare accessibility. Grow Therapy empowers therapists to launch and grow thriving insurance-accepting private practices. We’re creating game-changing technology to build America’s biggest behavioral healthcare group and ensure that anyone can afford quality mental healthcare. 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. Our founders come from Harvard Medical School, Stripe, and Blackstone, and are champions of balancing bold ambitions with a culture that promotes holistic well-being. Since launching in 2020, Grow has raised over $90M from top VCs and angel investors, including TCV, Transformation Capital, SignalFire, Village Global, CoFound, and leaders of Oscar, Nurx, Quartet, Airbnb, and Blackstone.

What You’ll Be Doing:

We’re looking for an experienced Provider Enrollment Specialist who is passionate about improving the landscape for mental healthcare. In this role, you’ll own the credentialing processes for 5-10 of our payors, so you’ll play a key role in getting our providers in-network with some of the country’s largest health plans. Responsibilities include:

• Assist in building out new payor operations as we onboard new payors.
• Work with the Revenue Cycle Management team on any Credentialing related claim denials.
• Monitor the follow up process applications, and communicate with the payors directly to ensure that applications are staying on-track.
• Maintain documentation for each process to ensure smooth operations.
• Work with the payor to understand the best way to follow up on applications, and document the process accordingly.
• Monitor our submission processes to make sure that all applications are submitted within SLA. Understand our submission protocols and update them as needed.
• Ensuring our providers are credentialed in a timely manner by monitoring and maintaining the end-to-end submission process for 5-10 of our payors.
• Create the Submission Protocol for new payors so that applications can be submitted in a standardized format.
• Conduct regular reviews to validate the accuracy of our internal credentialing data against the payor’s data to ensure our credentialing data serves as a source of truth across the organization.
• Determine the best way to regularly review the accuracy of internal credentialing data whether it be requesting a report from the payor or checking a portal.
• Provide a synthesis of each payor’s credentialing operations to the Senior Manager, Credentialing Operations on a biweekly basis based off the data you’re monitoring in our credentialing system

Salary range: $52,625 - $75,750

You’ll Be a Good Fit If:

• Strong familiarity with credentialing processes, terminology and primary source verification resources; these include: CAQH, NPDB, PECOS, State Licensing, Accreditation and Certification agencies
• 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’re great at problem perception and escalating when you need help. You know when you need to loop someone in because you’re not getting what you need or something seems off.
• You’re comfortable with a face-paced, high growth environment.
• You know how to hold people accountable. You drive clarity on what’s needed to get something done, and you ensure deadlines are met.
• You’re a behavioral health credentialing expert. You’ve communicated with payors directly in the past, and you meet the following requirements:
• Certified Provider Credentialing Specialist (CPCS) with at least two years of experience in Provider Credentialing OR at least four years of experience in Provider Credentialing
• You have excellent communication skills. You have the ability to be persuasive and credible with a wide variety of audiences both internal and external.

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.

Benefits

• Our dedication to mental health guides our culture. Wellness benefits include (but are not limited to):
• In-office lunch and biweekly remote lunch on us!
• Competitive salary
• Wellness Stipend
• Flexible working hours and location (remote OR in-office, your choice!)
• Team meditation
• Comprehensive health insurance plans, including dental and vision
• The opportunity to help build a rapidly scaling start-up organization by taking strong ownership of your work, mentorship, and our unbounded leadership opportunities
• The chance to drive impact within the mental healthcare landscape from day one
• Continuous learning opportunities
• Generous PTO
• Company-wide winter break
• Mental health mornings (2 hours each week)