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Remote Credentialing & Enrollment Specialist

Remote / Online - Candidates ideally in
Rochester, Monroe County, New York, 14602, USA
Listing for: Spring Care, Inc.
Full Time, Remote/Work from Home position Listed on 2026-11-08
Job specializations:
  • Healthcare
  • Administrative/Clerical
Salary/Wage Range or Industry Benchmark: 70000 - 95000 USD Yearly USD 70000.00 95000.00 YEAR

Job Description & How to Apply Below

Our mission: eliminating every barrier to mental health.

Spring Health is a global mental health company on a mission to eliminate every barrier to mental health. We're building a world where getting support is simple, personal, and built around the person, so care can continue through every job, move, health plan, and life stage.

Our AI-native platform helps us deliver personalized support across self-guided tools, coaching, therapy, medication management, and specialty care. With outcomes independently validated by JAMA Network Open and the Validation Institute, Spring Health reaches more than 170 million people worldwide through leading employers, health plans, and partners.

As an AI-native company, we believe technology should expand the reach, quality, and humanity of care. Every Spring Health team member is expected to use AI tools thoughtfully, apply human judgment to AI outputs, and keep building AI fluency in ways that support their role and our mission.

Reporting to the Enrollment Manager and partnering closely with our Credentialing, Onboarding, and Claims teams, the Enrollment Specialist will own how our clinicians are enrolled with health plans and kept accurately listed on plan rosters. Your work determines when a clinician can start seeing members under a plan and whether they are paid correctly afterward. This is a full-time position that is fully remote.

Travel is not required.

What you’ll do:

  • Submit and track clinician enrollment requests with multiple health plans, following each plan's specific requirements and timelines so clinicians can start seeing members on the correct effective dates.

  • Build, quality-check, and submit recurring clinician rosters to health plans in Google Sheets and Excel, verifying names, tax IDs, licenses, practice locations, and dates before every submission.

  • Reconcile roster and enrollment records across internal systems and plan-provided files using advanced spreadsheet techniques (lookups, filters, de-duplication, and multi-tab formulas), resolving discrepancies before they affect claims and payments.

  • Process clinician requests to add or remove a health plan or a state license, keeping internal records, trackers, and clinician communications accurate from start to finish.

  • Manage clinician terminations and plan unenrollments so that plan records and internal records reflect the correct end dates.

  • Monitor enrollment status and turnaround times, and escalate delays and risks with clear context and proposed next steps.

  • Communicate with clinicians and health plan contacts clearly, promptly, and professionally.

  • Use AI tools daily for automations/agents, analyzing data, and verifying your work, validating every output before it reaches a health plan or clinician.

  • Improve and automate roster submission steps using spreadsheet automation and AI, and document procedures so they stay current.

  • Work with cross functional teams to solve provider inquiries regarding their payer credentialing status or changes to their enrollment.

  • Support Payer Escalations with timely data on enrollment status and investigations to support the claims team

  • Update the Alma Portal to match the roster data, working with product to flag and fix errors to avoid claims friction or inaccuracies for provider payer data.

  • Prepare monthly executive level reports on roster and waitlist accuracy

What success looks like in this role:

  • Health plan rosters are submitted on schedule and accepted with 99%+ accuracy.

  • Enrollment requests are completed within the agreed turnaround time for each health plan.

  • Clinician effective dates and plan records are correct, measured through regular audits and fewer claim denials or payment corrections caused by enrollment or roster errors.

  • Clinician requests to add or…

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