Credentialing Coordinator
Virtual (Remote)
About the Company:
Octave is a modern behavioral health practice creating a new standard for care delivery that’s both high-quality and accessible. With in-person and virtual clinics in multiple states, the company offers evidence-based individual, couples, and family therapy, while pioneering relationships with payers to make care more affordable through insurance. By raising the bar on how care is delivered and how providers are supported, we are building a sustainable system that values equity, affordability, and effectiveness.
About the Role:
As an Octave Credentialing Coordinator, you will play a vital role in ensuring the timely credentialing and renewal of all providers with payors, while effectively meeting the needs of multiple stakeholders including providers, operations, and revenue cycle teams. With a keen attention to detail and a strong desire to establish and maintain efficient systems, you will work towards achieving the company's strategic objectives. Thriving in a fast-paced, high-growth environment, you will embrace the inherent variability and opportunities it offers, demonstrating initiative and problem-solving skills. This position reports to the Credentialing Manager and is fully remote currently.
Responsibilities Include:
- Collaborate with providers to ensure completion of enrollment applications and track the progress across various payor portals.
- Perform primary source verifications during initial and re-credentialing cycles.
- Establish and cultivate relationships with internal and external stakeholder groups.
- Interact with health plans as needed to ensure accurate provider data is present.
- Regularly review and validate provider rosters across various payor partnerships.
- Ensure all internal systems are kept up to date with the most recent provider information
- Support documentation of processes and procedures.
- Ensures information is complete, accurate, clear, and concise by following process steps outlined in standard operating procedures. Performs follow-up to ensure quality of work and/or actions are completed.
Preferred Qualifications:
- 1+ year experience in credentialing, with 3 years of experience in a healthcare setting preferred.
- Experience using various portals and systems, like CAQH, Availity and Salesforce.
- Proficiency in Gsuite, MS office and excel.
- Strong prioritization skills.
- Follows a particular set of instructions given by management or outlined in standard operating procedures.
- Comfortable in an ambiguous, fast paced environment where all processes might not be fully fleshed out.
- Effective and empathetic communicator who knows ones audience and can tailor messaging as needed.
- Calm and clear in conflict resolution with skill in de-escalation when needed.
- Understands the customer and takes a proactive approach to meeting their needs in an effective and timely manner.
- Completes individual objectives that contribute to the department and organizations goals.
- Be a lifelong learner, curious and kind striving towards continuous improvement.
Octave's Company Values:
The below values drive our day-to-day operations.
- We’re human beings first. We operate with empathy and kindness – with our clients, with our collaborators, and with ourselves.
- People deserve better than status quo. We’re willing to tackle the intractable problems, no matter how big, because someone should. We ask big questions, we craft big solutions, and we challenge ourselves and others to make it happen.
- No bystanders. No stars. No tourists. Each person has been selected to be here, and with that comes a responsibility to bring your expertise, share your ideas, and help make this company better.
- Partnership paves the path ahead. We don’t operate in a silo, internally or externally. To transform the system, we believe in working with others to create something bigger, better, and stronger.
- Quality is crucial at scale. Quality is core to our business, and we refuse to sacrifice it as we grow.
- Progress is a process. In the pursuit of progress, we iterate, reflect, learn, adjust – and always leave things better than we found them.
- There are people behind every data point. We recognize that numbers tell only one part of the story, and we also do the work to understand impacts at the individual level.
Physical Requirements:
- Prolonged periods sitting at a desk and working on a computer.
- Must be able to frequently communicate with others through virtual meeting applications such as Zoom and Google Meet.
- Must be able to observe and communicate information on company provided laptop.
- Move up to 10 pounds on occasion.
- Must be eligible to work in the United States without sponsorship now or in the future.
Compensation:
Octave is committed to pay equity. To maintain our commitment to pay equity, Octave will follow Pay Transparency regulations on all open job postings. Current Pay Transparency laws require companies to include a position's salary or hourly wage range (not including bonuses or equity-based compensation) in any internal or external job posting. This requirement extends to job postings published by a third party at an employer's request.
Octave will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Octave’s legal duty to furnish information.
Starting pay for qualified applicants will depend on a combination of job-related factors, which may include education, training, experience, location, business needs, or market demands. The expected salary range for this role is set forth below and this range may be modified in the future.
The salary range is for zone 1 (all states not in zone 2 or zone 3) is $23.51 - $26.49 per hour.
The salary range for zone 2 (CO, HI, MD, RI) is $25.87 - $27.50 per hour.
The salary range for zone 3 (AK, CA, CT, MA, NJ, NY, WA) is $27.02 - $28.75 per hour.
Additionally, this position is eligible for the following benefits: company sponsored life insurance, disability and AD&D plans. Voluntary benefits such as 401k retirement, medical, dental, vision, FSA, HSA, dependent care and commuter/parking options are also available. Octave offers generous Paid Time Off as well as paid parental leave benefits.
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Application Instructions:
Please complete the following application. Please note that the U.S. Equal Opportunity Employment Information questions below are used for the purposes of EEOC reporting and are optional to complete. Octave is unable to change these questions and we acknowledge that many of the U.S. Equal Opportunity Employment Information questions are not inclusive or affirming of all aspects of cultural identity. Octave is committed to an inclusive workplace environment, and this information will not inform how we approach hiring or employment.
ApplyJob Profile
RestrictionsFully remote Must be eligible to work in the United States without sponsorship
Benefits/PerksEquity and affordability focus Fully remote High-quality care delivery
Tasks- Collaborate with providers
- Ensure timely credentialing
- Maintain provider data
- Perform verifications
- Support documentation
Availity CAQH Communication Conflict Resolution Continuous Improvement Credentialing Documentation Empathy Excel G Suite Healthcare MS Office Proactive Approach Problem-solving Salesforce Training
Experience1-3 years