Operations & Compliance Coordinator

We are seeking anOperations Coordinatorto serve as a central support role for client services front desk operations billing credentialing and revenue cycle processes. This position blends administrative excellence with a heart for service and strong organizational skills. TheOperationsCoordinator ensures a smooth welcoming experience for clients while supporting providers andmaintainingefficient compliant business operations behind the scenes.

This role is critical to client accessprovidersreadiness and the financial health of the agency.

Client OnboardingCoordination

• Coordinate with referral partners clinicians billing and credentialing to ensure complete onboarding

• Conduct insurance verification and obtain authorizations as

• Follow up on referrals hospital discharges and missing or incomplete documentation

Scheduling & EHR Management

• Enter update andmaintainaccurateclient insurance and provider data in the EHR system

• Optimizeprovider schedules to support productivity and continuity of care

• Scan upload andmaintainaccuratedigital documentation in client and provider records

Billing & Revenue Cycle Support

• Verify insurance eligibility benefits and coverage

• Track claim statuses denials and follow-up actions in coordination with billing partners

• Assistwith authorization tracking and payer requirements

• Communicate with clientsregardingbilling questions balances and insurance-related matters as appropriate

Provider Credentialing Support

• Assistwithinitialcredentialing and re-credentialing of providers with insurance panels

• Maintain credentialing files CAQH profiles licenses and required documentation

• Track credentialing timelines expirations and payer communications

• Coordinate with providers and leadership to ensuretimelycredentialing and compliance

Organizational Values & Operations

• Demonstrate commitment to the mission vision and values ofCaregiver Grove

• Maintain confidentiality and compliance with HIPAA and agency policies

• Support operational efficiency workflow improvements and team collaboration

• Perform other duties as assigned to support client care and agency operations

QUALIFICATIONS:

• Bachelors Degree

• 5 years of experience in a behavioral health environment

• Experience working with payer-provider relations teams on trending payer issues as well as working cross-functionally (including credentialing support contracting and account management) to improve internal workflows

• EHR experience

• Billing and/or Coding certification preferred.

• Advanced Microsoft Word Excel Access and PowerPoint skills. Must be able to work with spreadsheets.

• Expert knowledge of CPT and ICD-10codingelectronic billing is.

• Excellent written and oral communication skills

• Advanced Excel skills withabilityto create polished and streamlined reports and illustrations.

• Strong organizational time management multi-taskingand problem-solving skills and abilities.

• Must be highly analytical andsolutions-oriented.

• Ability to excel in a high-growth fast-paced environment.

Required Experience:

Manager