Provider Licensing Specialist

Boulder Care

1d•$23 - $26•Remote

About The Position

Boulder Care is seeking a Provider Licensing Specialist to join the Finance team. You will have the opportunity to oversee Boulder's comprehensive licensing process by managing documentation, collaborating with clinicians, and tracking timelines to ensure all Care Team members maintain the necessary credentials and contracts for regulatory compliance, while also providing secondary support for payor credentialing needs as required.

Requirements

At least 2+ years of professional experience with a healthcare provider within relevant department (licensing, contracting or credentialing)
Relevant experience with state licensing applications and/or web sites
Demonstrated understanding of how provider licensing and credentialing impacts billing, contracts, and revenue management/collections
At least 1 year of remote work experience
Understands medical terminology, procedure codes and diagnosis codes as it applies to payor contracts
Substantial organizational skills, including multitasking and time-management
Reliable customer service, follow-up, and communication skills
Ability to work effectively both independently and as part of a team
Team-focused; effective collaboration. Serves both the team and the customer at a consistently high level
Strong critical thinking, problem-solving abilities, and attention to detail
Demonstrates high ethical standards of behavior
Maintains composure under pressure
Regularly demonstrates Boulder’s core values

Nice To Haves

Experience with state board licensing for nurse practitioners (strongly preferred)
Multiple state experience
Telehealth experience
MODIO experience

Responsibilities

Assisting with obtaining needed documentation from providers, such as copies of state licenses, IRS documents, NPI Notification forms, DEA numbers, board certifications, malpractice certificate of insurance, etc.
Applying for or assisting providers with applications for provider state licenses, DEA certifications and state controlled substance certifications; recertify as needed.
Assisting with new provider onboarding
Tracking progress of outstanding applications to completion and reporting progress to the Revenue Operations team and leadership
Resolving licensing issues through collaboration with management, senior team members, providers, and others as identified
Maintaining provider records as they pertain to licensing and credentialing through the approved platform
Completing and submitting credentialing and re-credentialing applications with all payors accurately and in a timely manner; Ensuring submission deadlines are met and submission documentation is maintained appropriately
Building and maintaining strong relationships with the payor communities, including the government payor community (Medicaid, Medicare, VA, etc)
Attending meetings, and other duties as assigned or required

Benefits

Contribute to meaningful, life-saving work!
Comprehensive medical, dental, vision, and short-term disability benefits designed to take care of our employees and their families
Mental Health Services via insurance coverage, including Talkspace and EAP for continuous care
Supplemental mental health services through Talkspace for care needed following tough patient visits
4 weeks of vacation accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment
Sick leave accrued at 1 hr for every 30 hrs paid
9 Paid Holidays per year
12 weeks of 100% paid parental leave for the birth or adoption of a child (after 6 months of employment)
401(k) retirement savings
Remote friendly with hardware provided to complete your work duties