Array Behavioral Care is the nation's leading virtual psychiatry and therapy practice. As the leading mental health provider, Array is on a mission to transform access to quality, timely behavioral health care through innovative telepsychiatry solutions and services that span the entire care continuum, from the hospital to the home. Array partners with an extensive network of hospitals, health systems, community healthcare organizations, and payors to improve access and deliver the highest quality of care to patients.
ABOUT THE ROLE
Works with the medical affairs team and connects regularly with a national team of colleagues. This position is responsiblef or preparing, submitting and tracking credentialing applications and supporting documentaion for the purpose of enrolling providers with payors. The Provider Enrollment Coordinator will ensure interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and lawes relating to credentialing. The position is responsiblef or the accuracy and integrity of the credentialing database system, CAQH proful and related applications.
Works with the medical affairs team and connects regularly to a national team of colleagues. This position is responsible for preparing, submitting and tracking credentialing applications and supporting documentation for the purpose of enrolling providers with payers. The provider enrollment coordinator will ensure interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing. The position is responsible for the accuracy and integrity of the credentialing database system, CAQH profile and related applications.
WHAT YOU’LL DO
- Ensure applicant eligibility by analyzing a provider’s profile and accompanying documents
- Implement, coordinate and monitor provider enrollment and credentialing process for initial and re-credentialing applications
- Work closely with provider to obtain missing documentation and/or signatures pertaining to enrollment
- Confirm receipt of requested documents, identify and respond to issues that require additional investigation and evaluation, validate discrepancies with provider and facilitate process for payer participation
- Perform tiely follows-ups, maintain and update database on the status of application and to report to management and provider
- Enter and maintain credentialing information into Array credentialing database and CAQH profile
- Monitor documentation expiration dates and acquire the current and updated documentation
- Respond to inquiries from other healthcare organizations, interface with internal and external credentialing issues as they arise for enrollment and contracting matters
- Maintain and utilize the credentialing database to optimize efficiency, perform document generation, and track and report on applicant status
- Assist medical affairs department with special projects
- Other duties as assigned
WHAT WE’RE LOOKING FOR
- High School Diploma
- Two years of credentialing experience
- Outlook, Excel, PowerPoint and Word proficiency
- Database management skills including querying, reporting and document generation
- Ability to manage and impart confidential information
- Independent worker
- Organization and time management skills
- Ability to multitask
- Previous healthcare experience
- Working knowledge of clinical and/or hospital operations and procedures
- Knowledge of Medicare, Medicaid and commercial payer provider enrollment process
- Knowledge of Symplr Credentialing Software
- Knowledge of NCQA standards as it relates to credentialing and health plan enrollment
- Strong verbal and written communication skills
- Informational research skills
POSITION LOGISTICS
- 100% remote position
- Required to have a private office space in home or elsewhere for confidentiality
- Reports to Director, Medical Affairs Implementations
COMPENSATION AND BENEFITS
- The pay range for this role is $25 - $32 an hour. This information reflects the anticipated salary range for this position using current market data. The final offer will be determined based on an individual's skills, years of experience, education, capacity, licenses, and other job-related factors permitted by law.
- Medical, dental, and vision insurance, employer paid life & long-term disability insurance, additional voluntary benefits include short-term disability, voluntary employee, spousal and child life insurance, accident, critical illness, hospital, or confinement insurance and flexible spending accounts (FSA) and health savings account (HSA) contributions
- 15 days of accrued PTO annually, plus 8 paid holidays and 3 floating holidays
- 401k