Payer Enrollment Coordinator at Spring Health Inc

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Full Time

Start Date

Immediate

Expiry Date

17 Apr, 26

Salary

32.18

Posted On

17 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Payer Enrollment, Provider Enrollment, Healthcare Operations, CAQH, Enrollment Workflows, Roster Management, Organizational Skills, Attention to Detail, Enrollment Processes, Credentialing, Revenue Cycle Management, Billing Issues, Data Maintenance, Audit Support, Problem Solving, Collaboration

Industry

Mental Health Care

Description

Our mission: to eliminate every barrier to mental health. At Spring Health, we’re on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. Our clinically validated technology, Precision Mental Healthcare, empowers us to deliver the right care at the right time—whether it’s therapy, coaching, medication, or beyond—tailored to each individual’s needs. We proudly partner with over 450 companies, from startups to multinational Fortune 500 corporations, as a leading provider of mental health service, providing care for 10 million people. Our clients include brands you use and know like Microsoft, Target, and Delta Airlines, all of whom trust us to deliver best-in-class outcomes for their employees globally. With our innovative platform, we’ve been able to generate a net positive ROI for employers and we are the only company in our category to earn external validation of net savings for customers. We have raised capital from prominent investors including Generation Investment, Kinnevik, Tiger Global, Northzone, RRE Ventures, and many more. Thanks to their partnership and our latest Series E Funding, our current valuation has reached $3.3 billion. We’re just getting started—join us on our journey to make mental healthcare accessible to everyone, everywhere. Reporting to the Payer Enrollment Manager, the Payer Enrollment Coordinator is responsible for executing the end-to-end payer enrollment process for Spring Health providers following credentialing approval. This role works closely with our Credentialing Verification Organization (CVO), Medallion, to manage enrollment intake, tracking, payer submissions, and roster maintenance, ensuring providers are accurately enrolled and ready for billing. This is a full time remote position on our team and occasional travel may be required for company or team events. This role serves as a key operational partner to Credentialing, Revenue Cycle Management, and Payer Operations, escalating risks, delays, or data discrepancies to the Payer Enrollment Manager as needed. The Payer Enrollment Coordinator does not perform primary source verification or make credentialing determinations. What you’ll be doing: Execute payer enrollment applications from credentialing approval through payer confirmation, using Medallion as the CVO and system of record Coordinate CAQH profile maintenance and attestations in alignment with Medallion workflows and payer requirements Track enrollment status, follow up with payers, and escalate delays or issues to the Payer Enrollment Manager Prepare, validate, submit, and reconcile provider rosters across contracted payers Partner with Credentialing to ensure accurate and timely handoff of approved providers into enrollment Collaborate with RCM to resolve enrollment-related billing issues, including claim denials tied to enrollment status Maintain accurate enrollment data across internal systems, Medallion, and payer records Support payer requests or audits related to enrollment and roster data, under the direction of the Payer Enrollment Manager Follow established enrollment workflows and delegated arrangements without performing credentialing decisions or PSV activities What success looks like in this role: Providers are enrolled accurately and on time following credentialing approval Enrollment-related billing delays and denials are minimized Provider roster submissions are accurate, complete, and timely Issues are proactively identified and escalated appropriately Strong operational partnership with Credentialing, RCM, and Payer Enrollment leadership What we expect from you: 2+ years of experience in payer enrollment, provider enrollment, or healthcare operations Working knowledge of CAQH, payer enrollment workflows, and roster management Experience executing enrollment processes in partnership with a CVO or external credentialing vendor Strong organizational skills and attention to detail Ability to manage multiple payer timelines while following defined escalation paths Preferred Qualifications: Experience working in a managed care, payer enrollment, or credentialing environment. Familiarity with Medicare, Medicaid, and managed care provider enrollment. Experience using credentialing and enrollment systems. The target hourly pay range for this position is $26.05 - $32.18 and is part of a competitive total rewards package including benefits. Individual pay may vary from the target range and is determined by a number of factors including experience, location, internal pay equity, and other relevant business considerations. We review all employee pay and compensation programs annually using Radford Global Compensation Database at minimum to ensure competitive and fair pay. Benefits provided by Spring Health: Note: We have even more benefits than listed here and below, your recruiter will provide more in-depth information as you continue in the interview process. Benefits are subject to individual plan requirements and eligibility criteria. Health, Dental, Vision benefits start on your first day at Spring. You and your dependents also receive access to One Medical accounts HSA and FSA plans are also available, with Spring contributing up to $1K for HSAs, depending on your plan type. Employer sponsored 401(k) match of up to 2% for retirement planning A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents. We offer competitive paid time off policies including vacation, sick leave and company holidays. At 6 months tenure with Spring, we offer parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents. Access to Noom, a weight management program—based in psychology, that’s tailored to your unique needs and goals. Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses. Access to Wellhub, which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription Access to BrightHorizons, which provides sponsored child care, back-up care, and elder care Up to $1,000 Professional Development Reimbursement a year. $200 per year donation matching to support your favorite causes. Not sure if you meet every requirement? Research shows that women and people from historically underrepresented communities often hesitate to apply for roles unless they meet every qualification compared to other similarly-qualified candidates. At Spring Health, we are committed to fostering a workplace where everyone feels valued, empowered, and supported to Thrive. If this role excites you, we encourage you to apply. Ready to do the most impactful work of your life? Learn more about our values, what it’s like to work here, and how hypergrowth meets impact at Spring Health: Our Values Our privacy policy: https://springhealth.com/privacy-policy/ Spring Health is proud to be an equal opportunity employer. We do not discriminate in hiring or any employment decision based on race, color, religion, national origin, age, sex, marital status, ancestry, disability, genetic information, veteran status, gender identity or expression, sexual orientation, pregnancy, or other applicable legally protected characteristic. We also consider qualified applicants regardless of criminal histories, consistent with applicable legal requirements. Spring Health is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. If you have a disability or special need that requires accommodation, please let us know.

Responsibilities

The Payer Enrollment Coordinator is responsible for executing the end-to-end payer enrollment process for Spring Health providers following credentialing approval. This includes managing enrollment intake, tracking, payer submissions, and roster maintenance.