Operations Support Specialist

MindClub America provides mental health services, and we are growing through new relationships with employers. Our purposes are to improve workforce mental health and help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare.

We are looking to fill a key operations role that will involve executing a variety of operations activities as listed below.

Here are some of the key qualities we hope our new teammate will have:

· Attention to detail

· Organizational skills

· Communication skills

· Problem-solving abilities

· Confidentiality and integrity

· Knowledge of credentialing and compliance standards

· Experience in healthcare or related field

Responsibilities/Duties/Functions/Tasks:

· Provide general operations support to Chief Administrative Officer

· Assist with recruiting clinicians

· Assist with creating various proposals for business opportunities

· Manage all initial and reappointment credentialing items for all providers.

· Collaborate with human resources for new provider onboarding

· Gather and submit in appropriate format required credentialing information for assigned provider/practitioner network

· Conduct thorough review of all credentialing information to ensure compliance with policy, regulatory and contractual requirements

· Tracks license and certification expirations for all providers to ensure timely renewals.

· Ensures practice addresses are current with health plans, agencies, and other entities.

· Other duties assigned, which may include answering phones, scheduling, insurance verification and revenue cycle management, etc.

Qualifications

Education: High school diploma or equivalent.

Experience: (Preferred) three or more years of credentialing experience.

Additional Preferred Qualifications:

Understanding delegated credentialing requirements for the health plans.

· Understanding of national accrediting entities (NCQA)

· Understanding of commercial insurance, Medicare and Medicaid enrollment processes

· Understanding of credentialing terminology

· Experience with primary source verification and associated credentialing sources

Performance Requirements:

· Strong presentation skills

· Excellent communication skills, both written and verbal

· Ability to work with physicians and non-physician providers in a fast-paced environment

· Proficient computer skills (Microsoft applications)

· Ability to multi-task and prioritize

· Self-motivated with initiative; willingness to learn and adopt new strategies

· Strong sense of ethics.

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Work Location: Hybrid remote in Franklin, TN 37067