Provider Enrollment Associate

Geode Health is a rapidly growing, national provider of outpatient mental health services. Our Mission is to “Transform mental health by making it more accessible, affordable and effective”.

Reporting to Credentialing Manager, the Provider Enrollment Associate is responsible for overseeing all credentialing, licensing, and payer enrollment tasks.  The associate will work with providers and third-party partners to ensure all payer enrollment actions are completed in a timely manner while focusing on reducing overall enrollment related timelines.  The Provider Enrollment Associate must be able to effectively communicate with providers and other internal/external customers.

Estimated Pay Range: $23 - 25/hour

Job Responsibilities:

• Act as a liaison to providers as well as any vendors to ensure all information required for credentialing, license verification and payer enrollment is obtained in a timely manner
• Provide credentialing and enrollment expertise for the organization
• Leverage expertise to develop third-party workers’ knowledge base through regular meetings and coaching
• Maintain accuracy of provider database including payer enrollment, licensure, and malpractice information
• Provide regular reporting of any delays in credentialing or enrollment processes
• Responsible for investigating and self-reporting issues, developing and implementing solutions to address existing issues and identifying processes to mitigate risk
• Assists in resolving payer enrollment related claim denials
• Continually monitor processes and outcomes to ensure established KPI’s for credentialing, licensure and enrollment tasks are met
• Provide feedback to Payer Contracting to ensure payer specific requirements are not only met, but optimized to reduce enrollment timelines
• Ability to learn and document regulations and rules for new states
• Other duties as assigned

Ideal Candidate Profile:

• Passionate about our mission and inspiring others
• Organized & process-oriented
• Customer service experience is preferred
• Excellent communication skills, both verbal and written
• Self-starter, for whom no task is too big or too small and takes ownership of their decisions
• Contributes to the collective effort both within own scope - and beyond - as needed
• Creative and strategic thinker, who will dig for answers
• A lifelong learner who believes in giving and receiving feedback to get better each day

Qualifications/Skills:

• In-depth knowledge of credentialing, licensure, and payer enrollment requirements
• Experience using PECOS, CAQH, Availity and other payer portals
• Experience with EDI, ERA & EFT enrollments
• Proficient with MS Excel and PowerPoint

Education and Experience Requirements:

• Associate degree or equivalent experience required; Bachelor’s Degree preferred.
• 3-5 years’ experience working in provider enrollment

At Geode Health, we offer:

• Competitive compensation
• Medical, dental and vision benefits
• Life insurance
• Short and long-term disability
• Paid vacation and holidays
• Matching 401k plan
• State of the art technology

Why work for Geode Health?

At Geode Health, we take our commitment to patients and providers seriously. We focus every day on how to help patients across the United States get the best possible mental health care available.  To achieve this, we focus on ensuring our providers have unmatched support and resources so that they can focus on providing great care.  We are backed by KKR, a leading private equity firm with the experience and mission alignment to truly make an impact.  Joining Geode Health will put you on the front-end of a rapidly growing movement to increase access and improve outcomes for mental health patients and providers across the nation.

To learn more, visit us as www.geodehealth.com

At Geode Health, we offer:

• Competitive compensation

• Flexible schedule

• In-person and virtual patient visits

• Comprehensive admin support (front office, accounting, finance, payroll, HR, etc)

• Professional development opportunities

• Clinical community, support, and leadership

• Medical, dental and vision benefits

• Life insurance

• Short and long-term disability

• Paid vacation and holidays

• Matching 401k plan

• State of the art technology

Why work for Geode Health?

At Geode Health, we take our commitment to patients and providers seriously. We focus every day on how to help patients across the United States get the best possible mental health care available.  To achieve this, we focus on ensuring our providers have unmatched support and resources so that they can focus on providing great care.  We are backed by KKR, a leading private equity firm with the experience and mission alignment to truly make an impact.  Joining Geode Health will put you on the front-end of a rapidly growing movement to increase access and improve outcomes for mental health patients and providers across the nation.

To learn more, visit us as www.geodehealth.com

Geode Health is an Equal Opportunity Employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills and experiences of our workforce.

Estimated hourly pay range: