Enrollment and Credentialing Solutions Manager

April 3

🏈 Alabama – Remote

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🌡 Arizona – Remote

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+17 more states

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⏰ Full Time

🟒 Junior

🟑 Mid-level

πŸ’» Solutions Engineer

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Logo of RethinkFirst

RethinkFirst

RethinkFirst is a company dedicated to transforming behavioral health through clinical expertise, data science, and technology. By leveraging these strengths, RethinkFirst aims to empower its customers and drive improved outcomes, thereby positively impacting the lives of millions worldwide. The company provides solutions for various sectors, including schools and businesses, by supporting students and employees alike with mental health resources and tools. With substantial contributions in education, such as working with eight of the largest school districts and supporting over 3 million students, and in corporate wellness, such as reducing absenteeism for companies like Volvo, RethinkFirst utilizes AI and big data to predict patient progress and enhance clinical outcomes. Its services extend across 225 countries, significantly influencing 11 million lives globally.

πŸ“‹ Description

β€’ Ensure strict HIPAA-compliant confidentiality with all client-related data. β€’ Point of contact for all customer communications, including email responses and provider meetings. β€’ Oversee the day-to-day operations of Rethink’s Enrollment & Credentialing services. β€’ Serve as the Enrollment & Credentialing subject matter expert resource internally and externally. β€’ Identify and implement opportunities to improve the quality of Enrollment & Credentialing services that result in timelines and customer satisfaction. β€’ Assess existing processes to ensure Rethink’s Enrollment & Credentialing services are being provided based on payor current requirements and best practices. β€’ Make recommendations to Rethink leadership to address and improve operational protocols for the Enrollment & Credentialing department that focus on an enhanced customer experience. β€’ Develop and perform routine quality assurance audits to ensure timelines for Enrollment & Credentialing applications/contracts are being met. β€’ Document and communicate updated payor billing requirements to Enrollment & Credentialing members. β€’ Communication internally with various departments within the Behavioral Health and RCM teams. β€’ Manage account caseload as needed.

🎯 Requirements

β€’ Minimum 2-5-year management experience β€’ Minimum 3-5-year Insurance Billing/Provider Enrollment & Credentialing experience β€’ Strong verbal and interpersonal skills β€’ Positive attitude β€’ Strong leadership qualities

πŸ–οΈ Benefits

β€’ PTO after a 90-day introductory period β€’ Paid Holidays β€’ Generous Health, Dental & Vision benefits package β€’ 401k eligible after a year of employment

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