Clinical Network Operations Intern

Talkspace • New York, NY

241d • $15 • Remote

About The Position

At Talkspace, we are committed to fostering a diverse, equitable, inclusive, and belonging-centered workplace where everyone can thrive while making a difference in mental health. Want to help over two million people receive quality mental healthcare? Come join our mission of getting therapy in the hands of everyone! We are looking for a Clinical Network Operations Intern to join our Network & Clinical Quality team this summer! The Intern will be responsible for data entry of provider credentialing data into the main database. The role will maintain a close relationship with both the Onboarding, Training and Credentialing teams to collaborate on all admin work surrounding network operations projects. The role will also support the day-to-day onboarding and credentialing operations of both 1099 and W2 workflows. This involves collaborating with the Credentialing Manager and Credentialing Specialists to ensure a streamlined workflow with credentialing functions and learning and executing all credentialing requirements. This is a remote position based on Eastern Time. Talkspace Headquarters is located in NYC.

Requirements

• High school diploma.
• Attention to detail.
• Experience (or strong interest) in working in a fast-paced environment.

Responsibilities

• Submission of group enrollment applications via payer enrollment portals.
• Management of the CAQH group profile to ensure an accurate roster of providers is represented for payer enrollment applications while also confirming each provider is linked to the correct location and payer in the CAQH system.
• Complete provider enrollment profile in CAQH by accessing data in credentialing systems and inputting the data into the CAQH system.
• Collaborate with the Payer Team to ensure new and existing payer relationships are maintained.
• Ensure efficient certification applications are submitted and processed for each provider in the Humana network.
• Collaborate with the Credentialing Manager and Credentialing Specialist to ensure a roster update is submitted timely to the Humana Network.
• Work closely with the payer point of contact to manage the enrollment process from start to finish.
• Perform all daily credentialing functions as needed, such as checking provider CAQH status.
• Coordinate with Credentialing Verification Organization (CVO) to ensure timely completion of the credentialing review.
• Weekly follow-up review of provider status and communicating status updates to CVO or incomplete status to provider.
• Correspond with providers for missing data elements such as NPI numbers and/or CAQH profile information.
• Correspond with providers to advise on their status via Zendesk.
• Document all credentialing correspondence with provider and/or CVO in the Fountain system.
• Responsible for notification of incomplete credentialing status to the provider.
• Ensuring accurate storage record of provider file.
• Perform daily onboarding and offboarding tasks as assigned.
• Correspond with providers via Zendesk to ensure provider questions/concerns are resolved.
• Manage and edit provider headshots, ensuring professional and up-to-date images are maintained.
• Conduct regular audits of provider network data, ensuring accuracy and timeliness of all information.
• Document audit findings, maintain accurate records, and generate comprehensive reports summarizing audit results, trends, and recommendations for process improvement.
• Correspond with providers via Zendesk to ensure providers are moving through the special enrollment process (e.g. Medicare, TRICARE EAST).
• Perform training admin tasks as needed.
• Be an active participant and problem solver in recurrent meetings.
• Perform other related duties as assigned.

Benefits

• Compensation of at least $15/hour or the legally required local minimum wage.
• Mentorship from a Talkspace mentor throughout the program.

What This Job Offers

• Job Type: Part-time
• Career Level: Intern
• Industry: Social Assistance
• Education Level: High school or GED