Credentialing Specialist

🔥 0 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 1%

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Talkspace

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2011

💼 Consulting

🏥 Healthcare

🛍️ eCommerce

Consulting • Healthcare • eCommerce

Talkspace is an online therapy platform that provides accessible mental health care through licensed therapists and psychiatric providers. Users can engage in therapy through text, audio, and video sessions, as well as receive medication management when needed. Talkspace aims to make therapy convenient and affordable by partnering with major insurance providers and offering various treatment options for individuals, couples, and teens dealing with a range of mental health issues.

📋 Description

• Perform all daily credentialing functions and quality checks of credentialing files, approval dates, license expiration dates, and provider data • Monitor credentialing file status and communicate updates to Credentialing Verification Organizations (CVO) • Manage accurate provider data entry, including NPI numbers and CAQH profile information • Correspond with providers via Zendesk • Coordinate with CVOs and providers on credentialing correspondence and documentation in Fountain • Conduct weekly follow-up for provider re-credentialing and maintain CVO databases and Fountain files • Perform quality assurance checks on uploaded clinician documents and maintain accurate provider statuses • Support provider outreach and retention in high-need states • Assist with quarterly internal and annual external CVO audits • Provide audit data to the Credentialing Manager and Enterprise clients • Review credentialed license data and follow up on expired licenses • Maintain relationships with Enterprise clients under delegated credentialing agreements • Perform other related duties as assigned

🎯 Requirements

• 2-3 years of professional work experience in a highly communicative role. • Proficiency in Microsoft or like applications • Proficiency with G-Suite or like applications • Bachelor’s Degree preferred. • Credentialing experience preferred.

🏖️ Benefits

• Comprehensive Medical, Dental and Vision plans • Pre-tax benefits: HSA/ FSA • 401k Retirement Savings Program with matching up to 4% • Voluntary benefits including disability, basic life or pet insurance, etc. • Monthly Wellness Stipend to promote mental and physical self-care • Flexible PTO and Remote First Environment • Regular team events, including Wellness Workshops and Team Building Events • Free access to Talkspace products for you and one household member, as well as access to a friends and family discount!