Rethink is the leading global provider of online research-based resources to support individuals with developmental disabilities. Our behavioral health platform (http://RethinkBH.com) provides clinical tools, staff training and practice management for private ABA service providers. Due to autism insurance mandates sweeping the nation, our behavioral health division is experiencing unprecedented growth.

Rethink Behavioral Health (a subsidiary of Rethink First) is in the digital wellbeing training in the workplace. Rethink Behavioral Health provides cloud-based treatment tools, training, and clinical support for individuals with developmental disabilities and their caregivers.

Our Billing Services Division specializes in Revenue Cycle Management, Enrollment and Credentialing, and Benefit Authorization Management services. We are growing and are looking for new team members that will offer our clients best-in-class billing services. We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families. We are excited to offer the opportunity for professional and collaborative individuals to grow and be part of something exciting.

The E&C (Enrollment & Credentialing) Solutions Manager will play a key role in the continued development and growth of the Enrollment & Credentialing department and will work closely with the Implementations Team and the Billing Services Team to ensure the best customer experience.

Remote opportunities are available only in the following states: CA, CO, FL, GA, IL, IN, MO, NE, NY, NC, PA & TX

Main Responsibilities:

Ensure strict HIPAA-compliant confidentiality with all client-related data.
Point of contact for all customer communications, including email responses and provider meetings.
Oversee the day-to-day operations of Rethink’s Enrollment & Credentialing services.
Serve as the Enrollment & Credentialing subject matter expert resource internally and externally.
Identify and implement opportunities to improve the quality of Enrollment & Credentialing services that result in timelines and customer satisfaction.
Assess existing processes to ensure Rethink’s Enrollment & Credentialing services are being provided based on payor current requirements and best practices.
Make recommendations to Rethink leadership to address and improve operational protocols for the Enrollment & Credentialing department that focus on an enhanced customer experience.
Develop and perform routine quality assurance audits to ensure timelines for Enrollment & Credentialing applications/contracts are being met.
Document and communicate updated payor billing requirements to Enrollment & Credentialing members.
Communication internally with various departments within the Behavioral Health and RCM teams.
Manage account caseload as needed.

Required Qualifications:

Minimum 2-5-year management experience
Minimum 3-5-year Insurance Billing/Provider Enrollment & Credentialing experience
Strong verbal and interpersonal skills
Positive attitude
Strong leadership qualities

Preferred Qualifications and Experience:

Bachelor’s degree preferred
Minimum of 5 years management experience
Minimum of 5-10 years of Insurance Billing/Provider Enrollment & Credentialing experience
Customer service experience required
Proficient using Microsoft Suite (Excel, Outlook, Word)
Experience using billing software Tebra/Kareo

Benefits:

PTO after a 90-day introductory period
Paid Holidays
Generous Health, Dental & Vision benefits package
401k eligible after a year of employment

Job Type: Full-time, Monday-Friday (9-5 PM)

Hourly

Our commitment to an inclusive workplace

RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

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Enrollment & Credentialing Solutions Manager