Rethink Behavioral Health is in search of a detail-oriented, tech-savvy, resourceful, and fast-learner to join our growing Enrollment and Credentialing team. We are a passionate group of individuals who take pride in knowing the services we provide allow our customers to focus on providing services to children and their families.
Rethink Behavioral Health is the leading global provider of online research-based resources to support individuals with developmental disabilities. Our behavioral health platform (https://RethinkBH.com) provides clinical, staff training, and practice management tools for private ABA and other therapy based service providers in addition to full-cycle Billing Services.
We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families.
Our team specializes in Revenue Cycle Management, as well as Enrollment and Credentialing Services. We are looking for professionals that are customer-focused and enjoy a fast-paced environment. Remote opportunities are available only in the following states: CA, CO, FL, GA, IL, IN, MO, NE, NY, NC, PA & TX
Under the direction of the Enrollment Manager, the Enrollment Specialist is responsible for the following:
Essential Duties: (but not limited to)
Ensure strict HIPAA-compliant confidentiality with all client-related data Manage and review enrollment onboarding documentation
Complete new client enrollment verifications
Set up and manage providers in credentialing tracking software
Verify NPI’s and other customer enrollment information
Complete, submit, and follow up on credentialing requests and applications on a regular schedule that will result in faster turnaround times.
Communicate payor enrollment and credentialing statuses as needed with Rethink team members
Collaborate with Rethink Billing Team members to resolve claims denials that are specific to credentialing
Document and communicate updated payor credentialing requirements externally and internally
Escalate and communicate any at-risk customer accounts to Supervisor
Keep customers informed and up to date regarding provider renewals, expirations, and application processes
Monitor provider credentials and licenses to ensure timely renewals Maintain and keep up to date on all payor enrollment requirements
Serve as enrollment and credentialing subject matter resource internally and externally
Attend client meetings as needed and/or required
Required Qualifications
Previous customer service and/or office experience Minimum 1 year previous credentialing experience Strong verbal and interpersonal skills
HS Diploma or Equivalent * Willing to learn
Positive attitude and love a good challenge
Must also be a team player and be willing to ask questions.
Preferred Qualifications and Experience
Bachelor’s degree preferred
Credentialing experience in behavioral health
Minimum 1 year of experience working in an office setting.
Customer service experience would be a plus.
Proficient using Microsoft Suite (Excel, Outlook, Word)
Experience using tracking and credentialing software IntelliApp, Echo OneApp, Modio, CredentialMyDoc, Cactus would be a plus
Benefits:
PTO after a 90-day introductory period
Paid Holidays with an additional (1) Floating Holiday
