Delegated Credentialing Specialist
Remote - US
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.
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Company-wide winter break Competitive salary Comprehensive health insurance Continuous learning Continuous learning opportunities Flexible time off Flexible working hours Health insurance Mental health mornings Mentorship Team meditation Wellness benefits Wellness stipend Winter break
Tasks- Approve collaborative agreements
- Collaborate on process improvements
- Facilitate credentialing committee meetings
- Manage special projects
- Review audit files
- Review provider files
- Stay updated on NCQA standards
Accreditation Attention to detail CAQH Certification agencies Communication Compliance Credentialing Excel Healthcare Hubspot Marketplace NPDB PECOS Process Improvement Provider Credentialing Slack Software Learning State licensing
Experience2-3 years
CertificationsCertified Provider Credentialing Specialist (CPCS)
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9