Company Overview
Wellmind is a rapidly growing SMB dedicated to solving access and quality problems in behavioral health care. After years of frustration with third party software solutions, we built our own Patient Portal, EHR, Claims Billing, and Provider Data Credentialing Platform to do exactly what we need it to do, without all the superfluous clicks (we hate clicks).
Our guiding values are Connection, Presence, and Integrity. Artificial Intelligence is fine, but human intelligence is supreme. We believe in putting our heart into our work, and creating a product to be proud of.
Summary
As a Credentialing Specialist at Wellmind, you will play a vital role in ensuring that our clinicians meet the necessary standards for providing exceptional mental health care. This position is essential to ensuring a high level of quality and regulatory compliance.
The ideal candidate for this role is highly motivated and detail oriented. You have a strong understanding of credentialing workflows, provider data management, and directory listing and attestations, and you have worked in credentialing for at least two years. You are savvy with computer technology and apps and can easily learn new software.
In addition to owning attestations and credentialing, you will have direct input into our technical product roadmap, and you will experience the
Responsibilities
- Work consistent, reliable hours
- Adhere to credentialing best practices and NCQA standards
- Accurately complete the payor enrollment/re-enrollment processes for clinicians in accordance with payor guidelines, government regulations and Operating Procedures.
- Timely and accurately maintain detailed enrollment status notes, provider numbers and effective dates and files in the provider enrollment database.
- Work independently within scope of your responsibility and authority.
- Follow up with providers to update missing or expired information (e.g. expired license, PLI)
- Access a plethora of provider portals to quickly and accurately update mandatory attestations
- Work with relationship partners at health plans to resolve data loading errors
- Build and strengthen relationships with health plan partners
- Develop and document policies and procedures for Directory Attestations and Provider Data Management and Credentialing
- Advise CTO of technology enhancement ideas to improve your efficiency and ease
- Work with CEO to evaluate potential CVO solutions
Requirements
- Two years credentialing and attestation experience, and/or
- Experience working with or at a CVO
- Superhuman attention to detail
- Extremely fluid with technology: Microsoft, Zoom, phone and texting app
If you are passionate about making a difference in mental health care and have the skills we need, we invite you to apply for the Credentialing Specialist position at Wellmind. Join us in creating accessible mental wellness solutions!
Job Type: Full-time
Pay: $25.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Application Question(s):
- Are you able to work Pacific Time Zone 9-5?
Experience:
- Credentialing: 2 years (Preferred)
Work Location: Remote