What are the responsibilities and job description for the Payor Enrollment Specialist position at Array Behavioral Care?
Overview
Array Behavioral Care is the nation's leading virtual psychiatry and therapy practice. As the leading mental health provider, Array is on a mission to transform access to quality, timely behavioral health care through innovative telepsychiatry solutions and services that span the entire care continuum, from the hospital to the home. Array partners with an extensive network of hospitals, health systems, community healthcare organizations, and payors to improve access and deliver the highest quality of care to patients.
ABOUT THE ROLE
The Enrollment Specialist will play a crucial role in managing the enrollment process for our plans and clinicians. This position requires a detail-oriented professional with extensive experience in enrolling in government and commercial payors. This position is responsible for preparing, submitting and tracking applications and supporting documentation through to activation and thereafter. The Enrollment Specialist will have a strong understanding of healthcare, with passion and the ability to navigate the ever-changing enrollment environment.
WHAT YOU'LL DO
- Manage the enrollment process for new and existing clinicians, ensuring accuracy and compliance with all government and commercial requirements.
- Coordinate with government and commercial payors to understand all unique requirements, processing timeframes, and facilitate smooth and efficient enrollment processes.
- Provide exceptional customer service to clinicians, answering questions and assisting with enrollment-related inquiries.
- Serves as Array's enrollment SME for enrollment-related requirements.
- Support RCM and collaborate on potential enrollment related claim issues.
- Maintain credentialing information in CAQH profiles.
- Collaborate with internal teams to streamline enrollment processes and improve efficiency.
- Prepare and submit enrollment reports to management and regulatory agencies as required.
- Submit rosters as required for delegated credentialing agreements.
- Ensure full system utilization allowing complete transparency into the state of each enrollment, and proof of submission, follow through, and approval documentation.
- Keep detailed resources and thorough training materials on each payor and their requirements allowing for visibility and reporting.
- Performs other duties as needed.
WHAT WE'RE LOOKING FOR
Microsoft 365 programs (Word, Excel, Outlook, Teams)
POSITION LOGISTICS
COMPENSATION AND BENEFITS
Salary : $28 - $30
