Enrollment Specialist

Spring Health•New York, NY

14h•Remote

About The Position

Spring Health is a global mental health company working to eliminate barriers to mental health through an AI-native platform. The Enrollment Specialist reports to the Enrollment Manager and partners with Credentialing, Onboarding, and Claims teams. This role owns clinician enrollment with health plans and the accuracy of clinician listings on plan rosters, helping ensure clinicians can see members under the correct plans and are paid accurately. The position is full-time, fully remote, and does not require travel. The specialist submits and tracks enrollment requests, prepares and verifies recurring rosters, reconciles records across internal systems and payer files, and manages clinician requests, terminations, and plan unenrollments. The role also monitors turnaround times, communicates with clinicians and health plans, supports payer escalations and provider inquiries, maintains roster data in the Alma Portal, and prepares monthly executive-level reports on roster and waitlist accuracy. The specialist uses AI tools and spreadsheet automation to validate and improve work, while applying human judgment and checking outputs against source data. Success is measured by on-time health plan roster submissions accepted with at least 99% accuracy; enrollment requests completed within plan-specific turnaround times; accurate clinician effective dates and plan records; timely resolution of clinician requests; errors caught internally before submission; current procedures and trackers; and at least one repeatable process simplified or automated each half-year.

Requirements

At least 2 years of direct provider enrollment and rostering experience with commercial health plans, supporting a large, multi-state group practice or clinician network.
Working knowledge of health plan enrollment and roster submission requirements, including applications, roster files, effective dates, and terminations; demonstrated ability to follow plan-specific processes accurately.
Experience improving or automating roster submission or enrollment workflows, with examples of time saved or errors avoided.
Exceptional attention to detail and a habit of checking work against source data before submission.
Advanced proficiency in Google Sheets and Excel, including lookup functions, pivot tables, conditional formatting, formulas across multi-tab workbooks, and accurate cleaning, comparison, and auditing of large data sets.
Clear, professional written communication with clinicians, health plans, and internal partners.
Ability to independently manage recurring, deadline-driven processes and escalate early when issues arise.
Working knowledge of Google Workspace, including Docs, Sheets, Slides, and Forms.
Regular, demonstrated use of AI tools to draft, analyze, and check work, including writing effective prompts, iterating on results, and validating outputs against source data.
Proactive approach to process improvement and willingness to learn new systems quickly.

Nice To Haves

Experience working with multiple national and regional health plans at once.
Experience in behavioral health or healthcare revenue cycle.
Experience writing spreadsheet scripts or building lightweight automations.
Professional credentials in credentialing or medical services management, such as CPCS or CPMSM.

Responsibilities

Submit and track clinician enrollment requests with multiple health plans, following plan-specific requirements and timelines.
Build, quality-check, and submit recurring clinician rosters using Google Sheets and Excel, verifying names, tax IDs, licenses, practice locations, and dates.
Reconcile roster and enrollment records across internal systems and health plan files, resolve discrepancies, and use spreadsheet techniques such as lookups, filters, de-duplication, and multi-tab formulas.
Process clinician requests to add or remove a health plan or state license, maintaining accurate internal records, trackers, and communications.
Manage clinician terminations and plan unenrollments, ensuring plan and internal records reflect correct end dates.
Monitor enrollment status and turnaround times, escalating delays and risks with clear context and proposed next steps.
Communicate clearly, promptly, and professionally with clinicians and health plan contacts.
Use AI tools for automation, data analysis, and work verification; validate outputs before sharing them with a health plan or clinician.
Improve and automate roster submission steps using spreadsheet automation and AI, and keep procedures current.
Work with cross-functional teams to address provider inquiries about payer credentialing status or enrollment changes.
Support payer escalations by providing timely enrollment data and investigations to support the Claims team.
Update the Alma Portal to match roster data and work with Product to identify and resolve errors that could cause claims friction or inaccurate payer data.
Prepare monthly executive-level reports on roster and waitlist accuracy.

Benefits

Health, dental, and vision benefits starting on the first day.
Access to One Medical accounts for employees and dependents.
HSA and FSA plans, with Spring contributing up to $1,000 to HSAs depending on plan type.
Employer-sponsored 401(k) match of up to 2%.
Yearly allotment of no-cost visits to Spring Health network therapists, coaches, and medication management providers for employees and dependents.
Paid time off, including vacation, sick leave, and company holidays.
Parental leave after six months of tenure: 18 weeks for birthing parents and 16 weeks for non-birthing parents.
Access to Noom, a psychology-based weight management program.
Fertility care support through Carrot and up to $4,000 reimbursement for related fertility expenses.
Access to Wellhub for fitness, mindfulness, nutrition, and sleep services.
Access to BrightHorizons sponsored child care, backup care, and elder care.
Up to $1,000 per year in professional development reimbursement.
$200 per year in donation matching.