[Hiring] Credentialing Specialist @Talkspace

Role Description

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
• Reporting on credentialing key performance indicators (KPIs)

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
  • Correspond with providers via Zendesk
  • Coordinate with CVO and providers to ensure timely completion and maintenance of all credentialing correspondence and documentation in the Fountain system
  • 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
  • Coordinate with CVO to ensure timely completion of re-credentialing review for each clinician
  • Maintain CVO database and files management within Fountain
  • Perform 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
  • 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
  • Assist with annual external CVO audits to ensure compliance with the delegated credentialing agreement
  • 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
• Relations Management
  • Maintain relationship with Enterprise clients under the delegated credentialing agreement
  • Perform other related duties as assigned.

Qualifications

• 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 up to 4%
• 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

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. Our mission is to change the world by cultivating an intentional space for people to feel supported through quality care that is simple and accessible.

EQUAL OPPORTUNITY EMPLOYER

Talkspace welcomes and celebrates talent from all backgrounds, perspectives, and walks of life to foster an innovative and diverse workforce. We encourage you to apply, even if you don’t meet every qualification or if your path has been nontraditional.