Provider Enrollment Specialist

Meridian Street Capital, LLC; Chicago (IL); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, Dental, Vision benefits

401K with company match

Generous PTO and holidays

Parental leave

Onsite fitness facility

Job summary

NOCD is seeking a Provider Enrollment Specialist to process and maintain enrollment for mental health therapists across managed care, Medicare, and Medicaid programs.

The role requires knowledge of credentialing and licensing requirements, with a focus on accuracy and regulatory compliance in a fast-paced telehealth environment. Hybrid onsite role, 40 hours weekly, with 3 days on site.

Qualifications

• 3 years of experience in behavioral health payer enrollment.
• Strong attention to detail and organizational skills.
• Excellent written and verbal communication abilities.
• Ability to prioritize workload and meet deadlines.
• Experience with enrollment databases, credentialing systems, and payer portals.

Responsibilities

• Coordinate and manage provider enrollment, revalidation, roster management, and demographic maintenance for behavioral health professionals.
• Maintain provider records in enrollment databases, credentialing systems, and CAQH.
• Monitor payer application status to ensure timely processing.
• Ensure compliance with payer requirements and regulations.
• Generate reports on enrollment status and KPIs.
• Communicate enrollment updates to providers and internal stakeholders.

Skills

Behavioral health payer enrollment

Attention to detail

Communication

Education

High School Diploma or equivalent

Associate or Bachelor's degree preferred

Tools

CAQH

Job description

About NOCD

NOCD is the #1 telehealth provider for the treatment of obsessive-compulsive disorder (OCD). OCD is one of the most severe, prevalent, and misunderstood mental health conditions. NOCD creates access to online therapy for people with OCD through our telehealth platform. In the NOCD app, Members can quickly access and schedule live, face-to-face video therapy sessions with our national network of licensed Therapists that specialize in Exposure and Response Prevention Therapy (ERP) - considered the "gold standard" in OCD treatment.

At NOCD, we help people reclaim their lives with clinically proven OCD treatment, by removing barriers to OCD care, and reducing the stigma associated with OCD. We’re changing the world and need other like-minded individuals to accelerate and expand our efforts.

About The Role

Provider Enrollment Specialist The Provider Enrollment Specialist is responsible for processing, verifying and maintaining the enrollment of mental health therapists for managed care plans as well as Medicare and Medicaid programs. The ideal candidate will have knowledge of provider credentialing, behavioral health licensing requirements and a familiarity with government insurance programs. This role ensures accuracy and compliance with internal policies as well as guidelines established by regulatory agencies.

What You’ll Do

• Coordinate and manage provider enrollment, revalidation, roster management, and demographic maintenance for both delegated and non-delegated agreements behavioral health professionals (LPCs, LMFTs, LCSWs and PhDs) .
• Maintain accurate provider records in enrollment databases, credentialing systems, payer portals and CAQH, including enrollment activities, approvals and effective dates.
• Monitor the status of applications with payers to ensure timely processing and resolution of enrollment issues.
• Ensure compliance with payer requirements, federal and state regulations and internal company policies.
• Generate reports regarding enrollment status, aging applications and key performance metrics.
• Ensure consistency of provider data across internal systems, payer portals and delegated rosters.
• Work with internal teams for enrollment issues with commercial payers.
• Assist with preparation for payer delegation audits and corrective action plan when necessary.
• Communicate enrollment status updates to both providers and internal stakeholders.

Requirements

• Full Time Employee:
• • 40 hour work week
  • Hybrid role; onsite 3 days per week

Who You Are

• High School Diploma or equivalent required; Associate’s or Bachelor’s degree preferred.
• Minimum of 3 years experience of behavioral health payer enrollment
• Strong attention to detail, organizational skills, and ability to handle sensitive information.
• Demonstrated skills in problem solving, analysis and resolution
• Strong analytical, organizational and problem solving skills.
• Excellent written and verbal communication abilities.
• Ability to prioritize workload effectively and meet deadlines
• Ability to work quickly and efficiently while maintaining accuracy
• Ability to remain flexible and adapt to changes in a fast-paced environment

What We Offer

• Competitive salary and benefits package, including Medical, Dental, Vision, and a 401K plan with a Company Match.
• Employee Assistance Programs, including Mental Health, Wellness, Financial, Legal, and Pet Insurance
• Generous PTO policy with 11 observed company holidays
• 12 weeks of fully paid parental leave for the primary caregiver, and 6 weeks of fully paid leave for the secondary caregiver, for qualifying full-time employees.
• Energetic start-up environment with onsite exercise facility