Provider Enrollment Specialist

About Us

Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Following the mass increase in depression and anxiety, the need for accessibility is more important than ever. To make our vision for mental healthcare a reality, we’re building a team of entrepreneurs and mission-driven go-getters. Since launching in February 2021, we’ve empowered more than ten thousand therapists and hundreds of thousands of clients across the country and insurance landscape. We’ve raised more than $178mm of funding from Sequoia Capital, Transformation Capital, TCV, SignalFire, and others.

Position Overview

We’re looking for an experienced Provider Enrollment Specialist who is passionate about improving the landscape for mental healthcare. In this role, you’ll own the credentialing processes for 10-20 of our payors, playing a key role in getting our providers in-network with some of the country’s largest health plans.

Responsibilities

• Ensuring our providers are credentialed in a timely manner by monitoring and maintaining the end-to-end submission process for 10-20 of our payors.
• Monitor our submission processes to make sure that all applications are submitted within SLA.
• Understand our submission protocols and update them as needed.
• Manage Virtual Assistants/BPO throughout this process.
• Monitor the follow-up process for applications and communicate with payors directly to ensure that applications are staying on-track.
• Conduct regular reviews to validate the accuracy of our internal credentialing data against the payor’s data to ensure our credentialing data serves as a source of truth across the organization.
• Maintain documentation for each process to ensure smooth operations.
• Work with the Revenue Cycle Management team on any Credentialing related claim denials.
• Assist in building out new payor operations as we onboard new payors:
  • Create the Submission Protocol for new payors so that applications can be submitted in a standardized format.
  • Work with the payor to understand the best way to follow up on applications, and document the process accordingly.
  • Determine the best way to regularly review the accuracy of internal credentialing data whether it be requesting a report from the payor or checking a portal.
• Provide a synthesis of each payor’s credentialing operations to the Manager, Provider Enrollment on an as-needed basis, based off the data you’re monitoring in our credentialing system.
• Manage special projects as needed.

Salary Range

• $69,000 - $77,000 USD.
• The base compensation for this role will vary depending on several factors, including relevant experience, qualifications, and the candidate's working location.

Qualifications

You’ll be a good fit if:

• You’re a behavioral health enrollment expert. You’ve communicated with payors directly in the past.
• You’re great at problem perception and escalating when you need help. You know when you need to loop someone in because you’re not getting what you need or something seems off.
• You have excellent communication skills. You have the ability to be persuasive and credible with a wide variety of audiences both internal and external.
• You know how to hold people accountable. You drive clarity on what’s needed to get something done, and you ensure deadlines are met.
• You’re tech savvy. You’ve efficiently learned new software in the past, and you’re willing to learn HubSpot, Verifiable, Slack, and Excel if you don’t know how to use them already.
• You’re comfortable with a face-paced, high growth environment.

If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume.