The Behavioral Health Care Specialist provides group-based interventions and case management for members with substance use disorders via telehealth. They are responsible for facilitating psychoeducational and support groups while maintaining accurate clinical documentation and adhering to HIPAA standards.
The Credentialing Specialist manages provider credentialing, renewals, and clinic licensure protocols to ensure accurate payor directory information. They also monitor staff credentials and collaborate with the billing department to resolve authorization or denial issues.
Manage full-cycle recruitment for clinical, product, and operations roles while acting as a strategic partner to hiring managers. Build diverse talent pipelines through proactive sourcing and optimize recruitment operations using data-driven insights.
Lead and develop billing managers while overseeing end-to-end revenue cycle operations, including claims, payer follow-up, appeals, denials, contracting, and credentialing. Monitor performance and report on key metrics, improve processes, and partner with leadership, Product, and Engineering on payer launches and claims automation initiatives.
The recovery counselor provides clinical interventions for substance use and mental health disorders through virtual multidisciplinary groups and individual sessions. They are responsible for maintaining accurate clinical documentation and collaborating with the team to support grant-related evaluations.
Collaborate with physicians to provide whole-person care for patients with substance use disorders via a telehealth platform. Conduct clinical assessments, develop treatment plans, and manage medications for opioid and alcohol use disorders.
The Recovery Counselor provides clinical interventions for members with substance use and mental health disorders through virtual multidisciplinary groups and individual sessions. They are responsible for preparing accurate clinical documentation and collaborating with the team to support grant evaluations and treatment goals.
