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. - ing 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
Provider Credentialing - 20%
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)
Administrative - 10%
Attending meetings, and other duties as assigned or required
What You Bring
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
Experience with state board licensing for nurse practitioners (strongly preferred)
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 Have (but not required)
Multiple state experience
Telehealth experience
MODIO experience
Work Environment
This is a fully remote role but we are currently only hiring candidates located in the following states: AZ, CA, CO, FL, GA, ID, IL, KY, MA, NC, NJ, NY, OH, OR, PA, SC, TN, TX, UT, WA, or WV. Applicants must reside and work in one of those states to be considered. - Changes to working location require pre-approval from People Operations and are not guaranteed. - Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. - Office Requirements: Boulder teammates working with sensitive information must have a dedicated, private workspace with a lockable door and high-speed internet to maintain a secure, distraction-free environment, ensuring compliance with HIPAA and confidentiality standards. - Boulder Care employees are free to use our river-front HQ located in Portland, OR whenever they would like. ## Expected Hours
This is a full-time remote position expected to work 40 hours between Monday-Friday during standard business hours. ## Hiring Process
Note: As part of our hiring process, all final candidates will be required to undergo background checks and provide professional references. By ing, you acknowledge and consent to these checks, which may include employment history, criminal records, education/licensing verification, and professional references. We are committed to transparency and confidentiality throughout this process and will inform you in advance should any further information be required.
Compensation
The starting pay range for this position is $23-26/hour; base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this position may also include other elements, including equity grantsin a**ddition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave).
Perks and 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