Senior Credentialing & Enrollment Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Contribute to Rula's objective of enhancing accessibility to mental healthcare.

• Guarantee timely and precise credentialing and enrollment of providers.

• Assess enrollment prerequisites for new payer integrations.

• Process provider enrollment applications.

• Assist providers in navigating each phase of the credentialing and enrollment process.

• Help develop and expand systems that accommodate swift growth.

• Collaborate with various teams on the launch of new payers.

• Provide operational insights.

• Train and support credentialing and enrollment associates as new processes and payers are rolled out.

• Clarify complex information and enhance the provider experience.

⛳️ Requirements

• Minimum of 3 years of experience in a healthcare environment, particularly with health insurance plans, networks, or credentialing verification organizations.

• At least 2 years of experience in enrolling providers with regional or national payers.

• Proven ability to work collaboratively with cross-functional teams, such as Account Delivery or Provider Success.

• Experience in creating, documenting, and streamlining new processes into easily comprehensible documentation.

• Proficient in Excel or Google Sheets.

• Skilled in CRM or ticketing systems, including Salesforce or Zendesk.

• Quick adaptability and learning ability for software like Airtable and Certify.

• Preferred: experience in a dynamic setting such as a startup or large healthcare organization.

• Preferred: enrollment experience with providers, particularly those in behavioral health.

• Preferred: knowledge of CAQH, NPPES, CMS, and NCQA standards.

• Preferred: experience with a Credentials Verification Organization (CVO).

• Must reside in the United States; Hawaii is not included.

🏝️ Benefits

• Fully remote work environment with hours that promote work-life balance.

• Transparent salary ranges applicable nationwide in the United States.

• Comprehensive benefits including medical, dental, vision, life, disability, and FSA/HSA options.

• Access to a 401(k) plan.

• Generous vacation policies, featuring 2 company-wide shutdown weeks annually for most employees.

• Paid parental leave available for birthing, non-birthing, adopting, and fostering parents.

• Employee Assistance Program (EAP) offered.

• Quarterly stipends for team-building activities or in-person meetings.

• Community and employee resource groups available.

• Stipend for home office setup for new hires.

• Monthly $50 stipend for internet or cell phone expenses.

• Year-round wellness programs.

• Monthly $50 wellness stipend provided.

• Equity opportunities available.