Medicaid & MCO Enrollment Specialist - Virginia
About Us
Chatterboxes is a clinician-owned pediatric Speech-Language Pathology practice built on a sanctuary model—designed to support both children and the clinicians who serve them. As we expand into Northern Virginia, we are establishing partnerships in Early Intervention (including the Alexandria PIE Program) and need expert support navigating Medicaid Managed Care enrollment.
Why This Role Exists
We are seeking a part time, remote specialist to work in a contractor position to help us successfully enroll with Virginia Medicaid Managed Care Organizations (MCOs) and build a clean, scalable billing foundation.
This process is nuanced and time-intensive—and we’re looking for someone who has done this before and can guide us efficiently.
The Role - What You’ll Do
- Lead enrollment with Virginia Medicaid MCOs (e.g., Anthem, Aetna, United, etc.)
- Interpret and complete MCO-specific requirements and applications
- Coordinate organizational and provider credentialing (group + individual NPIs)
- Ensure alignment between:
- Early Intervention billing requirements (IFSP-based services)
- MCO billing processes and reimbursement structures
- Advise on workflows for:
- Direct billing to MCOs (vendor model vs. state billing)
- Uninsured patient pathways and coverage through MCOs
- Support setup for:
- Background check compliance (online systems)
- Fidelity assessments and documentation requirements
- Act as a liaison between Chatterboxes and MCO representatives
- Provide clear timelines, checkpoints, and expectations (this process can be slow—we need visibility)