Payer Enrollment Coordinator jobs in United States
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Spring Health · 13 hours ago

Payer Enrollment Coordinator

Spring Health is on a mission to revolutionize mental healthcare by removing barriers to access. The Payer Enrollment Coordinator will execute the end-to-end payer enrollment process for Spring Health providers, ensuring accurate enrollment and collaboration with various teams to minimize billing delays and issues.

Artificial Intelligence (AI)Health CareMental HealthmHealthWellness

Responsibilities

Execute payer enrollment applications from credentialing approval through payer confirmation, using Medallion as the CVO and system of record
Coordinate CAQH profile maintenance and attestations in alignment with Medallion workflows and payer requirements
Track enrollment status, follow up with payers, and escalate delays or issues to the Payer Enrollment Manager
Prepare, validate, submit, and reconcile provider rosters across contracted payers
Partner with Credentialing to ensure accurate and timely handoff of approved providers into enrollment
Collaborate with RCM to resolve enrollment-related billing issues, including claim denials tied to enrollment status
Maintain accurate enrollment data across internal systems, Medallion, and payer records
Support payer requests or audits related to enrollment and roster data, under the direction of the Payer Enrollment Manager
Follow established enrollment workflows and delegated arrangements without performing credentialing decisions or PSV activities

Qualification

Payer enrollment experienceCAQH knowledgeEnrollment process executionHealthcare operations experienceRoster managementManage timelinesOrganizational skillsAttention to detailCollaboration skills

Required

2+ years of experience in payer enrollment, provider enrollment, or healthcare operations
Working knowledge of CAQH, payer enrollment workflows, and roster management
Experience executing enrollment processes in partnership with a CVO or external credentialing vendor
Strong organizational skills and attention to detail
Ability to manage multiple payer timelines while following defined escalation paths

Preferred

Experience working in a managed care, payer enrollment, or credentialing environment
Familiarity with Medicare, Medicaid, and managed care provider enrollment
Experience using credentialing and enrollment systems

Benefits

Health, Dental, Vision benefits start on your first day at Spring.
Employer sponsored 401(k) match of up to 2% for retirement planning
A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents.
We offer competitive paid time off policies including vacation, sick leave and company holidays.
At 6 months tenure with Spring, we offer parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents.
Access to Noom, a weight management program—based in psychology, that’s tailored to your unique needs and goals.
Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses.
Access to Wellhub, which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription
Access to BrightHorizons, which provides sponsored child care, back-up care, and elder care
Up to $1,000 Professional Development Reimbursement a year.
$200 per year donation matching to support your favorite causes.

Company

Spring Health

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Spring Health provides mental health solution for employers and health plans.

Funding

Current Stage
Late Stage
Total Funding
$466.5M
Key Investors
Generation Investment ManagementKinnevikTiger Global Management
2024-07-31Series E· $100M
2023-04-12Series D· $71M
2021-09-16Series C· $190M

Leadership Team

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April Koh
Co-Founder & CEO
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Adam Chekroud
Co-Founder, President
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Company data provided by crunchbase