Provider Enrollment (Credentialing Specialist)

About the job

Provider Credentialing & Payer Enrollment Specialist

About Tellos

Tellos helps ABA therapists start and grow their own independent practices. We handle everything from insurance credentialing and billing to RBT staffing, scheduling, and family onboarding so providers can focus on delivering exceptional care to children with autism.

We’re scaling fast across multiple states and payers, and we’re looking for a meticulous, systems-driven Credentialing Specialist who can own our payer enrollment and credentialing process end-to-end.

What You’ll Own

1. Lead Credentialing Across States

• Own end-to-end credentialing as we expand into new markets.

• Research payer requirements by state and line of business (Medicaid, commercial, MCOs).

• Prepare and submit enrollment packets, manage deadlines, and proactively escalate blockers.

• Build detailed, state-specific credentialing playbooks so the process is repeatable and scalable.

2. Manage Group and Individual Enrollments

• Coordinate initial group enrollments for Tellos with each payer.

• Onboard each BCBA and RBT under the group umbrella once approved.

• Maintain active provider rosters, ensuring no lapse in credentials.

• Track expirations, revalidations, and renewals with precision.

3. Build Transparent Systems

• Develop and maintain a central credentialing tracker that logs status, payer timelines, and blockers.

• Keep a live dashboard that shows leadership where each provider and state stands at all times.

• Forecast provider go-live dates based on payer timelines and approval stages.

4. Eliminate Downtime

• Ensure no provider sits idle due to credentialing delays.

• Align forecasted start dates with payer approvals.

• Where delays are expected, propose temporary solutions (e.g., single-case agreements, alternative payer panels) to prevent interruptions in care delivery.

What You Bring

• 2+ years of experience in healthcare credentialing or payer enrollment (ABA, mental health, or allied health preferred).

• Strong understanding of payer contracting, NPI, CAQH, Medicaid, and commercial credentialing processes.

• Detail-oriented with the ability to juggle multiple state timelines at once.

• Excellent communication and follow-up skills proactive, not reactive.

• Comfortable building systems, trackers, and processes that others can follow.

Why Join Tellos

• Mission-first: We’re reimagining how autism care is delivered, empowering providers to thrive independently.

• Autonomy: You’ll have ownership over your work, not just tasks.

• Velocity: You’ll help shape how we scale across 20+ states.

• Impact: Every credential you push through means a child gets care faster.

Requirements added by the job poster

• 2+ years of work experience with Credentialing

• 1+ years of work experience with Provider Enrollment

We believe in hiring people, not resumes. If you’re excited by Tellos’s mission but unsure if you meet every requirement, we still encourage you to apply, we’d love to learn what you’d bring to the team.