Ellie Mental Health is looking for Credentialing Specialist to support our Minnesota clinician credentialing process!
The Credentialing Specialist Level 1 is responsible for accurate completion of clinician and group payer enrollment applications, revalidations, and payer research for our Corporate Owned Minnesota based clinics. The Credentialing Specialist L1 will ensure all provider's qualifications and skills are accurate while getting them listed as an approved in-network provider by the insurance companies. Strong attention to detail is essential to this role as well as the ability to maintain a high level of production and accuracy.
An ideal candidate for this role would have a passion for our mission and personal values that match ours. Ellie Mental Health has a goal to make getting mental health care the norm by crushing the stigmas surrounding seeking mental health care. Our mission is to compassionately transform the culture of mental health care by providing creative solutions that make wellness accessible in every community.
Our core values emphasize impactful connections that allow us to fill the gaps in our communities and make a real difference. These values are creativity, authenticity, humor, compassion, acceptance, and determination.
This position requires current residence in the State of Minnesota. While required to reside in Minnesota, this position is open to fully remote or hybrid work schedules.
Primary Responsibilities:
Submit provider credentialing for all new and existing clinical staff, including clinical psychotherapists, psychologists and medication management providers utilizing platforms such as CAQH, PECOS and MCC
Ensure provider information remains up to date over time and submit provider re-credentialing in a timely manner
Notify insurance companies of demographic changes for individual providers and/or group locations (e.g., adds/changes/terms)
Electronically track individual and group information in accordance with applicable credentialing standards
Identify the required documents needed to submit and complete applications to each insurance company
Prioritize insurance companies and stay familiar with individual insurers' regulations
Research and investigate payer credentialing requirements, applications, and issues that may arise during the credentialing and contracting process
Ensure credentialing status for providers is accurately communicated to Client Access Team through Ellie Match tool
In partnership with Senior Leadership and Finance, secure professional liability insurance for all licensed providers
Track expiration dates for applicable licenses and insurance policies to ensure provider credentials are compliant with contract requirements
Serve as the subject matter expert for other MN departments and be available to consult as needed
Regularly provide support to the Franchise Credentialing Team for Ellie Match Insurance Updates and Maintenance
Other duties as assigned
Required Skills/Abilities:
High School Diploma
1+ years of Minnesota specific provider credentialing and payer enrollment experience required, Behavioral Health Preferred but not required
1+ years of Minnesota Credentialing Collaborative experience
Proficient in Microsoft Office, credentialing databases and other software
Ability to work independently and collaboratively with other teams to achieve goals
Strong communication skills, both verbally and in writing; clear, concise, and professional
Exhibit good judgement, honesty, integrity, responsibility, and punctuality
Ability to analyze issues and suggest or determine solutions
Excellent organizational skills and attention to detail
Ability to work well in a fast-paced, changing environment
Excellent time management skills with a proven ability to meet deadlines
Ellie Mental Health is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, sex, religion, national origin, citizenship status, age, disability, veteran or military status, sexual orientation, gender identity/expression, genetic information, or any other legally-recognized protected basis under federal, state or local laws, regulations or ordinances. Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change or adjustment to a job or work environment that will ensure an equal employment opportunity without imposing an undue hardship on the operation of the business.
Flexible work from home options available.