Credentialing Specialist , Verifications

At SonderMind, we know that therapy works. SonderMind provides accessible, personalized mental health care that produces high-quality outcomes for individuals. SonderMind's individualized approach to care starts with using innovative technology to help people not just find a therapist, but find the right, in-network therapist for them.

SonderMind is hiring a Credentialing Specialist, Verifications who will be responsible for ensuring that providers submit proper documentation as part of the application process to join SonderMind. As our ideal candidate, you are able to manage high volume activities while still maintaining strong attention to detail. You will be joining a collaborative high-energy team that is driven to support our providers throughout the credentialing process with the goal of shortening the amount of time it takes to get providers credentialed with our insurance partners.

• Within one week, fully understand each step of the credentialing process.
• Within one month, reach a level of efficiency across your duties as they relate to primary source verification
• Within two months, ramp up to the prescribed service level agreements and maintain an audit error rate of less than 10%
• Within three months, generate and implement at least one process improvement across all Credentialing activities

• Collects, reviews, and prepares data for final behavioral health professionals credentials verification. May work with providers to obtain any missing information
• Verifies provider credentials (such as licensure, malpractice history, and education) in accordance with NCQA and payor requirements prior to the provider being presented to the credentialing committee
• Maintains files on providers including information related to licensure or clinical practice disciplinary actions, clinical practice restrictions, and medical malpractice suits, judgments and settlements. Provides requested reports as directed
• Maintains current knowledge of, and compliance with, internal and external regulatory standards
• Operate with an extremely high level of attention to detail
• Be able to quickly manage multiple priorities within established deadlines and metrics

•  1-2 years experience working in an credentialing role
• Previous experience meeting and exceeding productivity metrics
• Exceptional attention to detail and organizational skills 
• Ability to manage multiple tasks at once

• Working knowledge of payor credentialing or contracting 
• Data research and entry experience 
• Experience working with healthcare insurance companies.
• Experience with NCQA guidelines

• Curious: Seek to understand and pull the thread
• Courageous: Takes action, even when uncomfortable
• Lightful: Assume positive intent in others
• Authentic: Say what you mean, mean  what you say, act accordingly
• Bucketworthy: Don’t let your bucket leak 

Our Benefits 

This role is a full-time, non-exempt position. The anticipated pay range for this role is $21.64 per hour. 

As a leader in redesigning behavioral health, we are walking the walk with our employee benefits. We want the experience of working at SonderMind to accelerate people’s careers and enrich their lives, so we focus on meeting SonderMinders wherever they are and supporting them in all facets of their life and work.

Our benefits include:

• A commitment to fostering flexible hybrid work
• A flexible PTO policy with a minimum of three weeks off;  company-paid holidays
• Therapy coverage benefits to ensure our employees have access to the care they need
• Competitive Medical, Dental, and Vision coverage with plans to meet every need, including HSA and FSA options
• Employer-paid disability & AD&D to cover life's unexpected events. Not only that, we also cover the difference in salary for up to eight (8) weeks of short-term disability leave
• Eight weeks of paid Parental Leave  (if the parent also qualifies for STD, this benefit is in addition)
• 401K retirement plan with 100% matching on up to 4% of base salary

Mental wellness impacts people of every community. At SonderMind, building and supporting a diverse workforce is foundational to our goal to redesign behavioral healthcare to be more approachable and accessible. SonderMind is a committed equal opportunity employer and provides a workplace that will not tolerate discrimination or harassment on the basis of race, religion, national origin, gender identity or expression, sexual orientation, age, marital, veteran, or disability status.