Provider Enrollment Specialist

Back to jobs New Provider Enrollment Specialist Remote - US Apply 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. 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 10-20 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: Ensuring our providers are credentialed in a timely manner by monitoring and maintaining the end-to-end submission process for 10-20 of our payors. Monitor our submission processes to make sure that all applications are submitted within SLA. Understand our submission protocols and update them as needed. Manage Virtual Assistants/BPO throughout this process.  Monitor the follow up process applications, and communicate with the payors directly to ensure that applications are staying on-track. 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. Maintain documentation for each process to ensure smooth operations. Work with the Revenue Cycle Management team on any Credentialing related claim denials. Assist in building out new payor operations as we onboard new payors. Create the Submission Protocol for new payors so that applications can be submitted in a standardized format. Work with the payor to understand the best way to follow up on applications, and document the process accordingly. 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 Manager, Provider Enrollment on an as needed based off the data you’re monitoring in our credentialing system Manage special projects as needed The salary range for this position is $69,000 - $77,000 USD. The base compensation for this role will vary depending on several factors, including relevant experience, qualifications, and the candidate's working location. You’ll Be a Good Fit If: You’re a behavioral health enrollment expert. You’ve communicated with payors directly in the past, and you meet the following requirements: 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 have excellent communication skills.  You have the ability to be persuasive and credible with a wide variety of audiences both internal and external. 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 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 comfortable with a face-paced, high growth environment. 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   Flexible Time Off  Company-wide winter break  Mental health mornings (2 hours each week) Wellness Stipend In-office meals and snacks 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  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.   As part of our recruitment process, we use a third-party AI tool (Covey) to assist in the initial screening of resumes and applications. This tool analyzes candidates' qualifications based on the information provided in the application to identify potential matches. Certain features may qualify the tool as an AEDT (automated employment decision tool) under New York City Local Law, and may be considered an AI tool under other applicable state and city laws. As part of the evaluation process we provide Covey with job requirements and candidate submitted applications. Final hiring decisions are made by our human recruitment team , and no automated system makes the ultimate decision regarding hiring. We began using Covey Scout for Inbound on January 11, 2025. The independent bias audit report covering our use of Covey is here . By submitting your application, you acknowledge and consent to the use of automated tools in our recruitment process. You also understand that your application may be processed by AI systems as part of the screening and selection process. We are committed to ensuring transparency in our hiring practices. If you have any questions about how our AI tools work, or if you would like to request additional information, please contact recruiting@growtherapy.com.If you require an accommodation due to a disability, or if you have concerns regarding the use of AI in our hiring process, please contact recruiting@growtherapy.com. We will be happy to provide assistance or discuss alternative methods for participating in our recruitment process.   Create a Job Alert Interested in building your career at Grow Therapy? Get future opportunities sent straight to your email. 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