Credentialing Integrations Specialist

We don’t just have a mission statement…we have a mission.

At Refresh Mental Health our commitment to optimal mental health and steadfast support extends to every member of our team.

Refresh Mental Health realizes the strength of our practice is our exceptional staff. We support our employees in building a thriving and profitable workload upon a culture of values of innovation, professionalism, and healthy work/life balance. We are currently seeking a Credentialing Integrations Specialist for a full-time REMOTE position.

We are looking for a unique candidate to support our managed care team. You will manage business-related tasks for the team such as creating reports and spreadsheets and other administrative tasks. In addition, you should have knowledge and understanding of Managed Care Payor language and payor policies as it relates to onboarding new locations and staff. You should also have a detailed understanding of the full Microsoft Office suite. Strong analytical skills project management and organizational skills. Smartsheet and or Monday.com software skills are a definite plus. The candidate will work across business lines to assist Managed Care department in requests from the Legal and Business Development departments and any other areas as needed under the direction of the director of credentialing and enrollment

Responsibilities:

• Understanding of various types of Managed Care tasks as it relates to credentialing, enrollment and new facilities and staff.
• Prepares reports, memos, letters, and other documents.
• Maintain and develop distribution lists for communication intra and inter departmental.
• Reads and analyzes incoming requests, and distributes them as needed.
• Files and retrieves managed care records, contracts, documents, and reports.
• Research data to prepare documents for review and presentation by directors, committees, and executives.
• Uses various software, including Microsoft Office (Excel, Word and Power Point, spreadsheets, databases, and presentation software.
• Use of Smartsheet and or Monday.com
• Experience pulling data in Tableau and formatting into presentable reports.
• Provides general administrative support.

Requirements:

• Minimum BA, MA preferred.
• At least 3 years’ experience in a Managed Care environment on the provider and/or payer side.
• Working knowledge of Managed Care operations and procedures.
• In-depth understanding of entire MS Office suite.
• Ability to organize a daily workload by priorities.
• Must be able to meet deadlines in a fast-paced quickly changing environment.
• A proactive approach to problem-solving with strong decision-making skills.
• Professional level verbal and written communications skills.
• Ability to learn and adapt to continuously changing business and technology needs.
• Ability to work remotely and independently.

A Career with Refresh Mental Health offers:

• Healthcare, dental, vision and life insurance benefits
• Generous vacation and sick leave
• 401K with employer match
• Fully remote work opportunity
• Exciting career with a growing company!
• Salary Range: $50,000 - $60,000/YR

Refresh Mental Health is an Equal Opportunity Employer that values a diverse workplace. We are committed to building a team that is inclusive of all people, including those of LGBTQIA+ communities, members of all ethnic groups, people with disabilities and medical conditions, foreign-born residents, and veterans. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Refresh is also committed to compliance with all fair employment practices regarding citizenship and immigration status