Credentialing and Compliance Manager
Posted on Sep 25, 2024 by Mindful Support Services
Mountlake Terrace, WA
Insurance
Immediate Start
Annual Salary
Full-Time
About Mindful Support Services
We are a business-to-business support service for independent mental healthcare businesses, which helps providers service a growing client base. We provide administrative and organizational services to simplify the processes of lead-generation, marketing, billing and collecting payments from patients and insurers. Our teams support over 1700 independent mental health providers, and in turn over 23,000 clients per week across 5 states and virtually via Telehealth.
We have built the Mindful Therapy Group brand from the ground up with years of dedication to solving the complex processes of the healthcare landscape in innovative ways, creating a platform geared toward growth, and working to meet our mission of creating improved access to high quality mental healthcare.
About the Role
We are seeking top-tier talent to further strengthen our capabilities. We are seeking a Compliance Manager to organize, implement, and oversee the collection of compliance materials required for provider membership in the group. The Compliance Manager will ensure that providers are operating their businesses in compliance with state regulation, insurance requirements, and will also manage the record of compliance documents that verifies provider compliance.
The Compliance Manager will also oversee the Credentialing team, managing tasks and processes and ensuring that credentialing and recredentialing are being completed in accordance with Delegated Credentialing requirements and according to onboarding timelines.
Finally, the Compliance Manager will assist the Business Relationship Manager in the management and processing of provider contract renewals, ensuring that providers are compliant with the requirements of their contract and renew according to contractual timelines.
We cultivate a collaborative, transparent and energetic culture and the necessary tools and support for you to succeed. If you’re eager to work in a fast-paced environment and be part of a growing team and scaling company, this role is what you’re looking for.
Responsibilities:
Oversee the Credentialing team, organizing their processes, managing workflow, addressing outliers, and resetting priorities as needed.
Monitor performance of the Credentialing team in order to make improvements to processes, give feedback and training, and ensure that credentialing and recredentialing are completed in a timely manner.
Report progress of the Credentialing team and compliance processes to the Business Relationship Manager and to the Director of Operations.
Coordinate with the Business Relationship Manager on implementing and overseeing the required tasks of Delegated Credentialing.
Work with the Business Relationship Manager on expanding insurance contracts to new states.
Oversee the process of auditing and collecting provider business compliance materials, collaborating with Office Managers and other staff.
Maintain a running compliance audit for each provider. Organize and lead the annual master audit of provider compliance every July.
Collaborate with the Operations team on the development of compliance-tracking methods in Zoho.
Collaborate with Provider Account Managers to ensure compliance is completed accurately during the onboarding process.
Coordinate with Office Managers to train and educate staff on compliance requirements.
Represent the company in communication with insurance representatives, ensuring a positive business relationship and timely credentialing of new providers.
Manage escalated provider relations conversations in regard to credentialing and insurance paneling.
Assist the Business Relationship Manager with monthly contract renewals, including sending offer emails, processing responses, writing contracts, and ensuring contracts are signed in a timely manner.
Create and implement a comprehensive HIPAA compliance and training program.
Assist with contract adjustments as a result of office space changes or transitions to or from telehealth-only contracts.
Report any escalations or negotiation conversations to the Business Relationship Manager.
The responsibilities described are not intended to be a comprehensive list of requirements for this job. Responsibilities, duties, and activities may change at any time with or without notice.
Requirements
Skills
Experience with business, insurance, and HIPAA compliance requirements
Strong team management skills
Contribution to cross-functional team
Bachelor's degree
Core Competencies
Ability to communicate clearly and concisely, both orally and in writing
Ability to work both independently and as part of a team
Strong customer relations skills
Strong attention to detail
Ability to set priorities and meet deadlines in a fast-paced and changing environment
Experience managing a team, measuring performance, and improving processes
Benefits
Compensation and Benefits:
75% employer covered Health, Dental & Vision benefits plan
401(k) savings plan with employer matching upon eligibility
8 paid holidays
15 PTO days accrued annually in first year
Professional and career development opportunities
Compensation evaluated with opportunities for advancement
Job Type: Full-time
Pay: $(phone number removed) - $(phone number removed) per year
We are a business-to-business support service for independent mental healthcare businesses, which helps providers service a growing client base. We provide administrative and organizational services to simplify the processes of lead-generation, marketing, billing and collecting payments from patients and insurers. Our teams support over 1700 independent mental health providers, and in turn over 23,000 clients per week across 5 states and virtually via Telehealth.
We have built the Mindful Therapy Group brand from the ground up with years of dedication to solving the complex processes of the healthcare landscape in innovative ways, creating a platform geared toward growth, and working to meet our mission of creating improved access to high quality mental healthcare.
About the Role
We are seeking top-tier talent to further strengthen our capabilities. We are seeking a Compliance Manager to organize, implement, and oversee the collection of compliance materials required for provider membership in the group. The Compliance Manager will ensure that providers are operating their businesses in compliance with state regulation, insurance requirements, and will also manage the record of compliance documents that verifies provider compliance.
The Compliance Manager will also oversee the Credentialing team, managing tasks and processes and ensuring that credentialing and recredentialing are being completed in accordance with Delegated Credentialing requirements and according to onboarding timelines.
Finally, the Compliance Manager will assist the Business Relationship Manager in the management and processing of provider contract renewals, ensuring that providers are compliant with the requirements of their contract and renew according to contractual timelines.
We cultivate a collaborative, transparent and energetic culture and the necessary tools and support for you to succeed. If you’re eager to work in a fast-paced environment and be part of a growing team and scaling company, this role is what you’re looking for.
Responsibilities:
Oversee the Credentialing team, organizing their processes, managing workflow, addressing outliers, and resetting priorities as needed.
Monitor performance of the Credentialing team in order to make improvements to processes, give feedback and training, and ensure that credentialing and recredentialing are completed in a timely manner.
Report progress of the Credentialing team and compliance processes to the Business Relationship Manager and to the Director of Operations.
Coordinate with the Business Relationship Manager on implementing and overseeing the required tasks of Delegated Credentialing.
Work with the Business Relationship Manager on expanding insurance contracts to new states.
Oversee the process of auditing and collecting provider business compliance materials, collaborating with Office Managers and other staff.
Maintain a running compliance audit for each provider. Organize and lead the annual master audit of provider compliance every July.
Collaborate with the Operations team on the development of compliance-tracking methods in Zoho.
Collaborate with Provider Account Managers to ensure compliance is completed accurately during the onboarding process.
Coordinate with Office Managers to train and educate staff on compliance requirements.
Represent the company in communication with insurance representatives, ensuring a positive business relationship and timely credentialing of new providers.
Manage escalated provider relations conversations in regard to credentialing and insurance paneling.
Assist the Business Relationship Manager with monthly contract renewals, including sending offer emails, processing responses, writing contracts, and ensuring contracts are signed in a timely manner.
Create and implement a comprehensive HIPAA compliance and training program.
Assist with contract adjustments as a result of office space changes or transitions to or from telehealth-only contracts.
Report any escalations or negotiation conversations to the Business Relationship Manager.
The responsibilities described are not intended to be a comprehensive list of requirements for this job. Responsibilities, duties, and activities may change at any time with or without notice.
Requirements
Skills
Experience with business, insurance, and HIPAA compliance requirements
Strong team management skills
Contribution to cross-functional team
Bachelor's degree
Core Competencies
Ability to communicate clearly and concisely, both orally and in writing
Ability to work both independently and as part of a team
Strong customer relations skills
Strong attention to detail
Ability to set priorities and meet deadlines in a fast-paced and changing environment
Experience managing a team, measuring performance, and improving processes
Benefits
Compensation and Benefits:
75% employer covered Health, Dental & Vision benefits plan
401(k) savings plan with employer matching upon eligibility
8 paid holidays
15 PTO days accrued annually in first year
Professional and career development opportunities
Compensation evaluated with opportunities for advancement
Job Type: Full-time
Pay: $(phone number removed) - $(phone number removed) per year
Reference: 202388238
https://jobs.careeraddict.com/post/95563300
Credentialing and Compliance Manager
Posted on Sep 25, 2024 by Mindful Support Services
Mountlake Terrace, WA
Insurance
Immediate Start
Annual Salary
Full-Time
About Mindful Support Services
We are a business-to-business support service for independent mental healthcare businesses, which helps providers service a growing client base. We provide administrative and organizational services to simplify the processes of lead-generation, marketing, billing and collecting payments from patients and insurers. Our teams support over 1700 independent mental health providers, and in turn over 23,000 clients per week across 5 states and virtually via Telehealth.
We have built the Mindful Therapy Group brand from the ground up with years of dedication to solving the complex processes of the healthcare landscape in innovative ways, creating a platform geared toward growth, and working to meet our mission of creating improved access to high quality mental healthcare.
About the Role
We are seeking top-tier talent to further strengthen our capabilities. We are seeking a Compliance Manager to organize, implement, and oversee the collection of compliance materials required for provider membership in the group. The Compliance Manager will ensure that providers are operating their businesses in compliance with state regulation, insurance requirements, and will also manage the record of compliance documents that verifies provider compliance.
The Compliance Manager will also oversee the Credentialing team, managing tasks and processes and ensuring that credentialing and recredentialing are being completed in accordance with Delegated Credentialing requirements and according to onboarding timelines.
Finally, the Compliance Manager will assist the Business Relationship Manager in the management and processing of provider contract renewals, ensuring that providers are compliant with the requirements of their contract and renew according to contractual timelines.
We cultivate a collaborative, transparent and energetic culture and the necessary tools and support for you to succeed. If you’re eager to work in a fast-paced environment and be part of a growing team and scaling company, this role is what you’re looking for.
Responsibilities:
Oversee the Credentialing team, organizing their processes, managing workflow, addressing outliers, and resetting priorities as needed.
Monitor performance of the Credentialing team in order to make improvements to processes, give feedback and training, and ensure that credentialing and recredentialing are completed in a timely manner.
Report progress of the Credentialing team and compliance processes to the Business Relationship Manager and to the Director of Operations.
Coordinate with the Business Relationship Manager on implementing and overseeing the required tasks of Delegated Credentialing.
Work with the Business Relationship Manager on expanding insurance contracts to new states.
Oversee the process of auditing and collecting provider business compliance materials, collaborating with Office Managers and other staff.
Maintain a running compliance audit for each provider. Organize and lead the annual master audit of provider compliance every July.
Collaborate with the Operations team on the development of compliance-tracking methods in Zoho.
Collaborate with Provider Account Managers to ensure compliance is completed accurately during the onboarding process.
Coordinate with Office Managers to train and educate staff on compliance requirements.
Represent the company in communication with insurance representatives, ensuring a positive business relationship and timely credentialing of new providers.
Manage escalated provider relations conversations in regard to credentialing and insurance paneling.
Assist the Business Relationship Manager with monthly contract renewals, including sending offer emails, processing responses, writing contracts, and ensuring contracts are signed in a timely manner.
Create and implement a comprehensive HIPAA compliance and training program.
Assist with contract adjustments as a result of office space changes or transitions to or from telehealth-only contracts.
Report any escalations or negotiation conversations to the Business Relationship Manager.
The responsibilities described are not intended to be a comprehensive list of requirements for this job. Responsibilities, duties, and activities may change at any time with or without notice.
Requirements
Skills
Experience with business, insurance, and HIPAA compliance requirements
Strong team management skills
Contribution to cross-functional team
Bachelor's degree
Core Competencies
Ability to communicate clearly and concisely, both orally and in writing
Ability to work both independently and as part of a team
Strong customer relations skills
Strong attention to detail
Ability to set priorities and meet deadlines in a fast-paced and changing environment
Experience managing a team, measuring performance, and improving processes
Benefits
Compensation and Benefits:
75% employer covered Health, Dental & Vision benefits plan
401(k) savings plan with employer matching upon eligibility
8 paid holidays
15 PTO days accrued annually in first year
Professional and career development opportunities
Compensation evaluated with opportunities for advancement
Job Type: Full-time
Pay: $(phone number removed) - $(phone number removed) per year
We are a business-to-business support service for independent mental healthcare businesses, which helps providers service a growing client base. We provide administrative and organizational services to simplify the processes of lead-generation, marketing, billing and collecting payments from patients and insurers. Our teams support over 1700 independent mental health providers, and in turn over 23,000 clients per week across 5 states and virtually via Telehealth.
We have built the Mindful Therapy Group brand from the ground up with years of dedication to solving the complex processes of the healthcare landscape in innovative ways, creating a platform geared toward growth, and working to meet our mission of creating improved access to high quality mental healthcare.
About the Role
We are seeking top-tier talent to further strengthen our capabilities. We are seeking a Compliance Manager to organize, implement, and oversee the collection of compliance materials required for provider membership in the group. The Compliance Manager will ensure that providers are operating their businesses in compliance with state regulation, insurance requirements, and will also manage the record of compliance documents that verifies provider compliance.
The Compliance Manager will also oversee the Credentialing team, managing tasks and processes and ensuring that credentialing and recredentialing are being completed in accordance with Delegated Credentialing requirements and according to onboarding timelines.
Finally, the Compliance Manager will assist the Business Relationship Manager in the management and processing of provider contract renewals, ensuring that providers are compliant with the requirements of their contract and renew according to contractual timelines.
We cultivate a collaborative, transparent and energetic culture and the necessary tools and support for you to succeed. If you’re eager to work in a fast-paced environment and be part of a growing team and scaling company, this role is what you’re looking for.
Responsibilities:
Oversee the Credentialing team, organizing their processes, managing workflow, addressing outliers, and resetting priorities as needed.
Monitor performance of the Credentialing team in order to make improvements to processes, give feedback and training, and ensure that credentialing and recredentialing are completed in a timely manner.
Report progress of the Credentialing team and compliance processes to the Business Relationship Manager and to the Director of Operations.
Coordinate with the Business Relationship Manager on implementing and overseeing the required tasks of Delegated Credentialing.
Work with the Business Relationship Manager on expanding insurance contracts to new states.
Oversee the process of auditing and collecting provider business compliance materials, collaborating with Office Managers and other staff.
Maintain a running compliance audit for each provider. Organize and lead the annual master audit of provider compliance every July.
Collaborate with the Operations team on the development of compliance-tracking methods in Zoho.
Collaborate with Provider Account Managers to ensure compliance is completed accurately during the onboarding process.
Coordinate with Office Managers to train and educate staff on compliance requirements.
Represent the company in communication with insurance representatives, ensuring a positive business relationship and timely credentialing of new providers.
Manage escalated provider relations conversations in regard to credentialing and insurance paneling.
Assist the Business Relationship Manager with monthly contract renewals, including sending offer emails, processing responses, writing contracts, and ensuring contracts are signed in a timely manner.
Create and implement a comprehensive HIPAA compliance and training program.
Assist with contract adjustments as a result of office space changes or transitions to or from telehealth-only contracts.
Report any escalations or negotiation conversations to the Business Relationship Manager.
The responsibilities described are not intended to be a comprehensive list of requirements for this job. Responsibilities, duties, and activities may change at any time with or without notice.
Requirements
Skills
Experience with business, insurance, and HIPAA compliance requirements
Strong team management skills
Contribution to cross-functional team
Bachelor's degree
Core Competencies
Ability to communicate clearly and concisely, both orally and in writing
Ability to work both independently and as part of a team
Strong customer relations skills
Strong attention to detail
Ability to set priorities and meet deadlines in a fast-paced and changing environment
Experience managing a team, measuring performance, and improving processes
Benefits
Compensation and Benefits:
75% employer covered Health, Dental & Vision benefits plan
401(k) savings plan with employer matching upon eligibility
8 paid holidays
15 PTO days accrued annually in first year
Professional and career development opportunities
Compensation evaluated with opportunities for advancement
Job Type: Full-time
Pay: $(phone number removed) - $(phone number removed) per year
Reference: 202388238
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