Who We Are at Sprout Therapy

Sprout Therapy is a tech-forward provider of pediatric therapy across the United States. We believe that families, clinicians, and insurers all deserve a better healthcare experience, so we built one.

Backed by >$30mm from General Catalyst, Felicis Ventures, Founders Fund, & others. Our mission is to provide personalized, technology-empowered care for children with autism in the environment best suited to help them grow and thrive — the home. We’re looking to rapidly grow our team with values-driven, diverse, caring professionals to help us improve autism care. 

 

About The Role: 

We are looking for an experienced Credentialing and Billing Specialist that has worked in a Behavioral Health or Medical environment. The ideal candidate will have knowledge of medical billing and credentialing and is able to thrive in a fast paced environment.

 

What You’ll Do: 

  • Contact providers and assists them through the credentialing process with both commercial and Medicaid Networks, following up on missing documents to ensure completion of credentialing process.
  • Monitor Staff credentials and Licensure. 
  • Prepare and submit credentialing applications and supporting documentation for the purpose of enrolling providers with commercial and Medicaid Networks. 
  • Follow up on the status of applications for providers and payers, tracking progress on all pending and completed work.
  • Reach out to potential clients and initiate the intake process, Verify eligibility and benefits.
  • Collect clinical documentation for insurance authorization requests, submit and oversee authorization requests.  
  • Review billing to ensure meeting payer requirements, and assist in the quality assurance review process.

 

What You’ll Need: 

  • Minimum two years of credentialing experience preferred 
  • Experience in Behavioral Health  (Preferred) 
  • Experience in Behavioral Health Billing process (Preferred)
  • Certified Provider Credentialing Specialist (CPCS) Preferred
  • Ability to work independently, set priorities and meet deadlines with a strong sense of urgency
  • Ability to communicate effectively with all departments, clients and insurance contacts
  • Possess knowledge of basic computer programs, such as Microsoft Word and Excel, as well as database programs
  • Strong Attention to detail
  • Excellent Customer Services skills

 

About Sprout:

In addition to our clinicians and supporting departments, our company is built around four cross functional teams (spanning operations, product, marketing, business development, etc.):

  • Demand - Deliver top notch products and services to our growing number of patients. You’ll work with families to understand pain points and optimize the patient journey from first contact to start of care to offboarding.
  • Supply - Own and manage the relationship with our clinical practitioners. You are responsible for the growth of our clinician ecosystem by attracting, recruiting, and retaining high quality autism care providers. 
  • Platform - Build tools and provide services to optimize and improve the delivery of clinical care. You’ll help match the right provider with the right family, coordinate clinical care, and develop digital therapeutics products.
  • Quality - Improve the quality of care delivered to our patients. You’ll ensure that we provide strong clinical outcomes, develop training platforms to level up our providers, and maintain compliance with a variety of payor and regulatory requirements.
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At Sprout, we are a globally distributed team with many of our team members located in the following cities: San Francisco, New York, Los Angeles, Toronto, Montreal, and Kyiv. While everyone currently works remotely, we envision a future that balances face to face collaboration with a remote friendly environment.

 

What We Believe:

  • Patients first, everything else second: We put our patients first, always. No decision is made at Sprout without considering the value it would bring to our families.
  • Think and act like an owner: We think of ourselves as not just employees but part owners. We understand that when Sprout thrives, we all thrive.
  • Candor and respect: We can't achieve greatness without ever disagreeing. We need to have healthy debates to ensure that we're making the right decisions.
  • Never settle for less: We don't settle for anything less than excellence. We're relentlessly committed to delivering the best care to our patients and always strive to do better by them.

 

The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required for the position.

Sprout Therapy is an equal opportunity employer that is committed to providing all employees with a work environment free of discrimination and harassment. We celebrate diversity and welcome applicants from every background and life experience.

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