Credentialing Specialist

Talkspace; New York (NY); À distance; USD 49 000 - 59 000; Plein temps

Avantages offerts par ce poste

Medical insurance

Dental Insurance

Vision Insurance

HSA/FSA

401k with match

Voluntary benefits

Wellness stipend

Flexible PTO

Remote first environment

Team events

Talkspace product access for you & a 1

Friends and family discounts

Résumé du poste

Talkspace is seeking a Credentialing Specialist to join the Credentialing (Clinical Quality Operations) team in a remote capacity. The role supports daily credentialing, recredentialing, audits, licensing, and enterprise client relations, with standard hours 9a–6p local time.

You will work with CVOs, providers, and the Fountain system to maintain data accuracy and timely completion of credentialing tasks. 2–3 years of experience and a bachelor’s degree are preferred for this role.

Qualifications

• 2–3 years of professional work experience in a highly communicative role.
• Bachelor’s Degree preferred.
• Proficiency in Microsoft and G-Suite applications.
• Credentialing experience preferred.

Responsabilités

• Exhibit wide-ranging experience and proficiency in performing all daily credentialing functions.
• Review and quality check of completed files, license expiration dates, and provider data.
• Monitor provider status and communicate with Credentialing Verification Organizations (CVO).
• Manage data entry for provider information to ensure accurate storage of files.
• Correspond with providers via Zendesk and coordinate with CVO for timely credentialing.
• Support recredentialing, including weekly CAQH follow-up and status updates to CVO.

Connaissances

Communication skills

Bachelor’s degree preferred

Microsoft Office

G-Suite proficiency

Credentialing experience preferred

Formation

Bachelor’s degree

Outils

Zendesk

Fountain system

CAQH

NPI data

Description du poste

At Talkspace, we are committed to fostering a diverse, equitable, inclusive, and belonging-centered workplace where everyone can thrive while making a difference in mental health. Want to help over two million people receive quality mental healthcare? Come join our mission of getting therapy in the hands of everyone!

We are looking for an experienced Credentialing Specialist to join our Credentialing (Clinical Quality Operations) team. This role would be responsible for executing and supporting the day-to-day credentialing operations, which includes collaborating with the Credentialing Manager to streamline operational processes, preparing for the Credentialing Committee, and reporting on credentialing key performance indicators (KPIs). We are looking for someone who has experience supporting new applicants, coordinating with Credentialing Verification organizations for timely completion and communicating with them to improve outreach efforts, and wants to bring their talents into a “for purpose” space. To work at Talkspace, you need to be as passionate as we are about our work, and excited to partner with us on delivering quality mental healthcare.

This is a remote position required to work 9a-6p Monday - Friday local time. Talkspace Headquarters is located in NYC but we do not require residence in New York.

What You’ll Do

Credentialing

• Exhibit wide-ranging experience and proficiency in performing all daily credentialing functions
• Review and conduct quality check of all daily functions, such as review of completed files, approval dates, license expiration dates, provider credentialing data
• Monitor provider status of credentialing files and communicate status updates to Credentialing Verification Organization (CVO)
• Manage data entry and accuracy for all necessary provider information such as NPI numbers and/or CAQH profile information to ensure accurate storage record of provider files
• Correspond with providers to via Zendesk
• Coordinate with CVO and providers to ensure timely completion and maintenance of all credentialing correspondence and documentation in the Fountain system and implement Fountain system updates to reflect decisions in support of the Credentialing Manager

Recredentialing

• Ensure timely re-credentialing of the credentialed provider network by performing weekly follow-up review of provider CAQH status and communicating status to CVO when complete or the provider when incomplete
• Coordinate with CVO to ensure timely completion of re-credentialing review for each clinician
• Maintain CVO database and files management within Fountain to aid with the completion of recredentialing
• Performing quality assurance (QA) checks to ensure the uploaded documents in the Fountain system represent accurate data for each clinician
• Assist Credentialing Manager with outreach and retention in high need states for providers in jeopardy of failing to re-credential and remain in the TS network
• Assist Credentialing Manager as needed with completing duties related to the approved re-credentialed providers process
• Ensure accurate status for approved and re-credentialed providers in the Fountain system

Auditing

• Assist with quarterly internal audits to ensure efficiency and accuracy within the Credentialing Program using the audit tool
• Assist with annual external CVO audits to ensure compliance with the delegated credentialing agreement using the audit tool
• Work with Credentialing Manager and Enterprise clients to provide data for audits on an annual, monthly or ad hoc basis

Licensing

• Perform quality review of credentialed license data to ensure accuracy
• Initiate outreach of providers with expired license data to secure license renewal and retain providers in the state directory for the license in facilitating client transfer and/or deactivation with untimely license renewal

Relations Management

• Maintain relationship with Enterprise clients under the delegated credentialing agreement as support to the Credentialing Manager

Performs other related duties as assigned.

About You

• 2-3 years of professional work experience in a highly communicative role.
• Bachelor’s Degree preferred.
• Proficiency in Microsoft or like applications
• Proficiency with G-Suite or like applications
• Credentialing experience preferred.

Benefits

• Comprehensive Medical, Dental and Vision plans
• Pre-tax benefits: HSA/ FSA
• 401k Retirement Savings Program with matching
• Voluntary benefits including disability, basic life or pet insurance, etc.
• Monthly Wellness Stipend to promote mental and physical self-care
• Flexible PTO and Remote First Environment
• Regular team events, including Wellness Workshops and Team Building Events
• Free access to Talkspace products for you and one household member, as well as access to a friends and family discount!

Compensation

At Talkspace, we believe that pay transparency during the interview process is a critical part of diversity, equity, and inclusion. Our salary bands are based on internal and external compensation benchmarks, which we regularly evaluate to ensure we pay competitively.

The hourly rate for this role is $25.96/hr ($54,000). Within the salary bands, leveling corresponds to each candidate’s relevant experience, skills as assessed during the interview process, education, and applicable certifications.

Why Talkspace?

Talkspace is the world’s leading online therapy company, serving over 2 million users looking to begin their wellness journey through tele-health. According to the World Health Organization, close to 1 billion people worldwide live with a mental disorder, and on average more than 75% with mental, neurological, and substance use disorders receive no treatment for their condition at all. Additionally, one-third of the world’s population – 2 billion people – live in countries that spend less than 1% of their health budgets on mental health. Therapy is an universal need and it's our mission here to change the world by cultivating an intentional space for people to feel supported through quality care that is simple and accessible.

Combining our passion for innovation along with our desire to help others overcome the stigma behind “getting help,” we are transforming the way patients find the right care provider, making an otherwise impossible feat easily conquerable. Our network of licensed, accredited, and board-certified clinicians are increasing access to mental health for our members through a myriad of high quality therapy services: anytime and for a fraction of the price. Dedicated to our mission, we are looking for candidates that want to bring their talents into a diverse “for purpose” space. If you’re equally as passionate about making quality mental healthcare accessible to all then Talkspace is the right place for you!

EQUAL OPPORTUNITY EMPLOYER

Individuals seeking employment at Talkspace are considered without regard to race, color, religious creed, sex, national origin, citizenship status, age, physical or mental disability, sexual orientation, marital, parental, veteran or military status, unfavorable military discharge, or any other status protected by applicable federal, state or local law.

How do we define Diversity, Equity, Inclusion, and Belonging at Talkspace?

Diversity

Diversity encompasses the unique attributes of our employees as individuals. We value and embrace the richness arising from their varied backgrounds, perspectives, and experiences, which include, but are not limited to, age, ability, ethnicity, gender, race, and cultural background.

Equity

Equity refers to a fair and impartial workplace, aiming to ensure equal growth and advancement opportunities for all employees. This involves amplifying underrepresented voices, addressing unconscious biases, and providing inclusive, culturally competent mental health care.

Inclusion

Inclusion signifies the practice of granting equal access to opportunities and resources for all employees, particularly those who might otherwise be excluded or marginalized. It ensures that everyone feels a sense of belonging, value, support, and respect as an individual.

Belonging

Belonging reflects the affinity and positive relationships that develop among employees from diverse backgrounds when businesses actively promote diversity, equity, and inclusion in the workplace.