Credentialing Associate
Uplift
This job is no longer accepting applications
See open jobs at Uplift.See open jobs similar to "Credentialing Associate" B Capital Group.About UpLift
At UpLift, we believe mental health is just as important as physical health. We're rethinking the mental healthcare model to make it more accessible. While 1 in 5 Americans struggle with mental health issues, only 40% get care because of barriers like cost, distance, information, and the stigma associated with it. Providers want to meet and support more people—but only 30% of therapists accept insurance because of complex and slow approval systems. UpLift bridges clients, providers, and insurers, so everyone can find great mental health care at an affordable rate. We use technology to deliver personalized provider matches, so clients have the agency to select the right provider for them.
Backed by Redesign Health, B Capital, and more, we have brought affordable and accessible mental health care to clients and are looking for driven and empathetic new team members to help us as we scale to new markets in 2023 and beyond. Our founders and leaders come from other high-growth healthcare startups, such as Cityblock Health, Clover, Oscar Health and hims & hers.
Benefits We Offer
- Remote and flexible working environment: work from anywhere in the US!
- Competitive compensation packages in line with industry standards
- Medical, Dental, and Vision coverage with $0 monthly premium options
- 18 days PTO and 12 paid company holidays
- Bi-annual performance reviews & development plans
- Complimentary One Medical Membership
- Fully paid parental leave
- Annual “work from home” stipend
About the Role
UpLift's credentialing team is growing and we are looking to add a Credentialing Associate to the team. As an early member of our credentialing team you’ll support our growing network of providers. You will be responsible for assisting with the credentialing and recredentialing UpLift’s network of providers.
Responsibilities
- Ensures providers are credentialed with contracted health plans
- Initiates, maintains and verifies all aspects of the credentialing and recredentialing applications and process for providers
- Completes and reviews all applications to ensure accuracy and completeness prior to submission
- Performs timely monitoring and following-up with health plan and providers on all applications
- Collects and ensure the confidentiality of all required documentation for each provider
- Maintains up-to-date data for each provider in credentialing databases and online systems; ensuring timely renewal of licenses and certifications
- Tracks license and certification expiration dates for all providers to ensure timely renewals
- Maintains all provider's credentialing files
- Maintains up to date knowledge of insurance health plan requirements for credentialing providers, including delegated credentialing requirements per NCQA
- Creates and maintains CAQH accounts; completing timely attestation as required
- Conducts research and provide summaries as requested for various provider types and health plan entities
- Responds to inquiries regarding the status of provider's application
- Prepares, updates and modifies policies, procedures and processes that relate to credentialing as needed/requested and in collaboration with leadership
- Assists the team with other functions as needed/requested
Relevant Experience
- Experience in a credentialing role
- Experience working with CAQH
- Strong communication skills, verbal and written
- Strong problem solving skills and attention to detail
- Incredibly empathetic with strong active listening skills, yet able to maintain appropriate boundaries
Additional Information
This role is remote and offers a full-time salary of $60,000-$65,000 per year plus benefits & equity.
This job is no longer accepting applications
See open jobs at Uplift.See open jobs similar to "Credentialing Associate" B Capital Group.