Provider Enrollment Specialist

Hazel Health is the nation's largest virtual provider of school-based healthcare services, and has been recognized by Fast Company as "one of the world's most innovative places to work" in 2023.

By partnering with districts and health plans across the country, Hazel transforms schools into the most accessible front door to physical and mental healthcare. Today, Hazel's diverse team of licensed providers deliver therapy and medical services virtually (in school or at home) to over four million K-12 students — regardless of their insurance status or ability to pay. Hazel aims to remove all barriers to the mental and physical health care that children need to thrive: in school, at home, and in life.

Helping students and their families feel better takes a team of smart, dedicated people. As an integral member of the Hazel team, you will

• Make an Impact: Work with a team that is increasing equitable access to quality health care experiences for students and their families.
• Enable Scale: Work with a team that is building and professionalizing a high growth high impact social enterprise.
• Feel Valued: Work with a team that is being compensated competitively, developed professionally, and celebrated frequently for making a meaningful difference.

Check us out at Hazel Health Careers.

The Role: Provider Enrollment Specialist

Location: Remote

The Provider Enrollment Specialist is responsible for preparing and submitting credentialing and re-credentialing applications and supporting documentation to enroll Behavioral Health Therapists and Clinicians with multiple payers. This role handles all implementation steps to enroll providers in multiple plans across 14+ states to ensure timely reimbursement.

What You'll Do:

• Manages the timely and accurate submission of provider enrollment applications for all insurance types, including enrollment and reassignment of Medicaid, Managed Medicaid, and commercial programs.
• Tracks and updates enrollment statuses on a real-time basis in Salesforce HealthCloud.
• Maintains the timelines for all enrollment/credentialing schedules and provides updates to providers and others as needed.
• Reviews Provider Profile information to determine enrollment issues and reports on actions taken to resolve those issues.
• Coordinates the receipt and processing of all credentialing data needed for enrollment, contracting, and other related purposes.
• Works closely with clinicians to obtain missing documentation for providers pertaining to provider enrollment. Obtains required clinician signatures and follows up with the carriers on documentation submitted.
• Responds to internal and external inquiries on enrollment and contract matters.
• Ensures compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards.
• Performs other duties as required or assigned within the scope of responsibility, including supporting other functions and teams within Revenue Cycle.

What Excites Us:

• Two (2) years plus experience utilizing credentialing software such as Availity, Modio and/or Verity.
• Three (3) to five (5) years credentialing experience working with commercial, Medicaid and Managed Care providers
• Must be proficient in Google Suite (gdocs,gsheets,gmail) and Internet/Web
• Experience with Salesforce Health Cloud.
• Experience navigating state Medicaid, Managed Medicaid, and commercial insurance portals
• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) certification by the National Association of Medical Staff Services is strongly preferred
• Ability to understand how job performance affects the outcomes of key performance indicators such as time to revenue and billing rates.
• Self-motivated with excellent decision making and time management skills
• Associate Degree preferred

If you're excited about this role but your past experience doesn't align with every qualification in the job description, we encourage you to apply anyway.

Total compensation for this role is market competitive, with a base salary range of $26.75 - $31.50/hr, a 401k match, healthcare coverage, paid time off, and a broad range of other benefits and perks. Review our benefits at Hazel Health Benefits.

We believe talent is everywhere, and so is opportunity. While we have physical offices in San Francisco and Dallas, we have embraced working remotely throughout the United States. While some roles may require proximity to our San Francisco or Dallas offices, remote roles can sit in any of the following states: AZ, CA, CO, DC, DE, FL, GA, HI, IA, IL, ME, MD, MA, MI, MO, NE, NV, NJ, NM, NY, NC, OR, PA, RI, SC, TN, TX, VT, VA, WA and WI. Please only apply if you live and work full-time in one of the states listed above or plan to relocate to one of these states before starting your employment with Hazel. State locations and specifics are subject to change as our hiring requirements shift.

We are committed to creating a diverse, inclusive and equitable workplace. Hazel Health values the minds, experiences and perspectives of people from all walks of life. We are proud to value diversity and be an equal opportunity employer. Hazel will consider qualified applicants with an arrest or conviction record for employment in accordance with state and local laws and "fair chance" ordinances. For all Hazel positions, a criminal background check is required following a contingent offer of employment. Learn more about working with us at Hazel Health Life.