Mindoula is seeking an experienced and detail-oriented Provider Enrollment Specialist to join our team. An ideal candidate would possess vast experience with multi-state Medicaid, Medicare and Commercial enrollment processes. In this role, you will be responsible for facilitating provider enrollment for our organization, ensuring that our behavioral health providers are properly qualified and enrolled expeditiously with insurance networks.
Location...
100% Remote in the United States. This is a work from home position that requires a dedicated workspace, without interruptions during work hours. The company will provide necessary equipment to complete the job duties and employees must provide high speed internet connection at their own cost.
Hours...
Monday through Friday, from 8:00 AM to 5:00 PM EST.
What you'll do...
- Facilitate all aspects of the provider enrollment process, including initial applications, re-credentialing, and maintaining provider information in all necessary systems.
- Submit provider enrollment applications across multiple states to include Medicare and Medicaid programs as well as commercial payers.
- Works with healthcare providers to complete necessary paperwork and answer questions about the enrollment and credentialing process.
- Stays up to date with changes in regulations and standards from organizations such as the National Committee for Quality Assurance (NCQA) and the Centers for Medicare and Medicaid Services (CMS).
- Maintains updated CAQH profile for all providers
- Maintains accurate records and ensures that all credentialing documents are current and comply with industry standards.
- Maintains changes to names, service locations, and addresses across all portals and platforms
- Works collaboratively with other departments to resolve credentialing and enrollment issues.
- Maintains and updates frequently our credentialing database and tracking systems, to include Modio, Monday, Sheets, etc.
What you'll need...
- High school diploma or equivalent required
- Associate degree preferred
- CPCS certification preferred
- Minimum 2 years work experience in credentialing preferred, minimum 1 year required
- Must be proficient in Google Suite, Adobe, Zoom, Office, CAQH, and Chrome
- Preferred experience with UKG, Modio, Monday, RingCentral, Slack, Apple Products
- Above average writing and verbal communication skills
- Detail oriented with solid organization and time management skills. You must have the ability to work quickly, efficiently and independently.
- Endurance and motivation to perform repeated tasks and respond quickly to requests for assistance from providers and company management
- Desire and flexibility to jump in on urgently requested team taskings
- Attend and actively contribute to scheduled meetings without distraction
- Passion and drive to make a positive impact on our team/company through collaboration, initiation and pride in work outcomes
What We Do
Mindoula is a next-generation population health management company that delivers data-driven, team-based behavioral health support across the continuum of care. We identify, engage, and serve populations with behavioral health and medical challenges and contract with payers, health systems, hospitals, and primary care practice groups to extend the reach of existing capabilities to integrate behavioral with medical care.
Mindoula deploys tech-enabled teams of case managers, care managers, community health workers, peer support specialists, and psychiatrists to provide 24/7 support to even the most complex and underserved behavioral health populations. Mindoula’s member engagement and predictive analytics technology platform has made the company a market leader in hospital readmissions reduction, collaborative care, care coordination for the seriously mentally ill, and measurement-based psychiatry.
We launched Mindoula because each of us has had personal experience with mental illness, either directly or through a loved one. We realized that the behavioral health system was broken and decided to take it upon ourselves to fix it by focusing on the people we serve, not their diagnoses or symptom sets. Each of us, and everyone we serve, is a person first, and a set of challenges second.
Mindoula Health is headquartered in Silver Spring, Maryland but has operations in VA, DE, PA, WV, LA, NV, FL, NJ, NY, NC, OH, NE, MO, IL, KY, and DC. We are currently hiring multiple positions throughout our many locations, including psychiatrists, psychiatric nurse practitioners, physician assistants, case & care managers and have a particular need at present for skilled tele-therapists looking to work 100% virtually during this unfortunate pandemic.
OUR COMPANIES
CareMind: www.CareMindHealth.com
StrongWell: www.iAmStrongWell.com
