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Full-Time

Credentialing and Payer Enrollment Manager

Confirmed live in the last 24 hours

Affect Therapeutics

Affect Therapeutics

51-200 employees

Digital platform for addiction recovery treatment

Healthcare

Senior, Expert

Remote in USA

Category
Quality Control & Compliance
Operations & Logistics
Required Skills
Communications
Requirements
  • Bachelor’s degree in healthcare administration, business, or a related field.
  • Minimum of 5 years of experience in healthcare credentialing and payer enrollment.
  • Strong knowledge of payer requirements, including Medicare, Medicaid, and commercial insurance.
  • Excellent organizational and time management skills.
  • Strong communication and relationship management skills.
  • Proficiency with credentialing and payer enrollment software and systems.
Responsibilities
  • Manage the credentialing process for all healthcare providers, ensuring timely completion and ongoing compliance with payer requirements.
  • Oversee payer enrollment activities for new and existing providers, ensuring that all providers are credentialed and enrolled in a timely manner.
  • Monitor credentialing and payer enrollment timelines and proactively address delays or issues.
  • Maintain up-to-date records of provider credentials and payer contracts in compliance with regulatory and payer standards.
  • Collaborate with the RCM and finance teams to resolve any credentialing or enrollment issues that may impact reimbursement.
  • Develop and maintain relationships with payers to ensure efficient payer enrollment and re-credentialing processes.
  • Ensure compliance with state, federal, and payer-specific requirements for credentialing and enrollment.
  • Provide regular reports on the status of provider credentialing and payer enrollments to leadership.

Affect Therapeutics offers a digital platform for addiction recovery that combines financial incentives, therapy, and medication through a method called "contingency management." This approach rewards positive behaviors to help individuals form healthier habits and is conducted via secure video conferences, ensuring convenience and privacy. The company also addresses other life challenges that can impact recovery, such as job searching and financial management, providing a holistic support system. The goal is to help individuals achieve sobriety while improving their overall quality of life.

Company Stage

Series A

Total Funding

$23.3M

Headquarters

Remote, Oregon

Founded

2020

Growth & Insights
Headcount

6 month growth

2%

1 year growth

57%

2 year growth

205%
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Simplify's Take

What believers are saying

  • The recent $16M Series A funding will enable Affect to expand nationally, enhancing its reach and impact.
  • Affect's science-based approach, backed by NIH-sponsored studies, ensures that the treatment methods are effective and credible.
  • The company's digital platform allows for continuous innovation and improvement, potentially leading to better recovery outcomes and user experience.

What critics are saying

  • The digital healthcare space is highly competitive, and Affect must continuously innovate to stay ahead.
  • Reliance on a subscription or fee-for-service model may limit accessibility for lower-income individuals who need treatment.

What makes Affect Therapeutics unique

  • Affect Therapeutics leverages a unique combination of financial incentives, therapy, and medication, setting it apart from traditional addiction recovery programs.
  • The company's fully digital platform offers unparalleled convenience and privacy, making it accessible to individuals who may avoid traditional rehab settings.
  • Affect's holistic approach, addressing not just addiction but also life circumstances like job hunting and bill management, provides a comprehensive support system for recovery.