Credentialing & Payer Contracting Coordinator

At Legion Health we believe everyone deserves fast affordable and effective mental health careand were on a mission to deliver it at scale.

Legion Health is a full-stack AI-native psychiatry network. Our clinicians provide care directly to patients while AI agents automate key care operations including scheduling risk analysis billing and administrative coordination.

Join us as we build the future of mental healthand a better experience for patients and clinicians powered by both humans and AI.

• Job Type: Contract

• Role Type: Credentialing & Payer Contracting Operations

• Ideal Experience Level: 2 years

• Location: Fully Remote

• Work Hours: 8:00 AM5:30 PM Central Time
  
  

Were looking for a highly organized detail-oriented Credentialing & Payer Contracting Coordinator to help clinicians move efficiently from onboarding to payer participation and billing readiness.

Youll coordinate provider credentialing recredentialing payer enrollment and contracting workflows across commercial and government health plans. Youll collect and maintain provider information submit applications follow up with payers track agreements and effective dates and ensure every open item reaches a clear resolution.

Were a fast-paced startup so the right person is proactive persistent adaptable and energized by building better processes as we scale. This is a non-clinical and non-legal role. You will not provide clinical or legal advice sign agreements negotiate outside approved parameters or attest on behalf of a provider without documented authorization.

• Coordinate initial credentialing payer enrollment and recredentialing for new and existing clinicians.

• Collect review and organize provider documentation including licenses DEA registrations where applicable malpractice coverage CVs education and work history board certifications W-9s NPIs taxonomy codes disclosures and attestations.

• Maintain accurate provider profiles in CAQH ProView NPPES PECOS state Medicaid systems commercial payer portals and internal tracking systems.

• Prepare submit and track enrollment applications roster additions demographic changes service-location updates reassignment requests terminations and payer requests for additional information.

• Follow up consistently with payer representatives through phone email portals and ticketing systems; document every interaction and escalate stalled or time-sensitive applications.

• Support the payer-contracting lifecycle including network-interest submissions contracting applications agreement intake fee-schedule organization redline tracking signature routing amendments and renewals.

• Route reimbursement legal and operational terms to the appropriate internal decision-makers for review and approval.

• Maintain a reliable source of truth for each provider and payer including application status participating plans contract status effective dates rates renewal dates outstanding items owners and next follow-up dates.

• Coordinate with provider operations revenue cycle finance legal and billing teams to confirm that credentialing contracting roster loading and billing setup are complete before a provider is marked ready to bill.

• Monitor licenses attestations recredentialing deadlines contract renewals and other expirations to prevent avoidable interruptions in payer participation.

• Investigate discrepancies across provider records payer portals contracts directories and internal systems and drive each issue through verified resolution.

• Track turnaround times aging applications upcoming deadlines payer bottlenecks and operational risks through clear weekly reporting.

• Identify recurring issues and improve workflows through better templates checklists documentation automation and escalation paths.

• Protect provider information and any patient information encountered by following Legions privacy security and access-control requirements.
  
  

• Proficient in spoken and written English.

• Exceptionally detail-oriented and able to identify inconsistencies across names addresses licenses NPIs TINs taxonomy codes and effective dates.

• Organized and comfortable managing multiple applications contracts deadlines and payer conversations without losing track of details.

• Persistent and professional when following up with payers and resolving delayed or incomplete applications.

• Proactive about identifying risks and escalating issues before they affect provider launches network participation or billing.

• A quick learner who can adapt to new payer requirements systems and internal processes.

• Comfortable working in a fast-paced startup where processes are continuously evolving.

• Skilled at maintaining clear documentation and ensuring every open item has an owner status next step and follow-up date.

• Trustworthy with sensitive information and disciplined about authorization attestations signatures and access controls.
  
  

• 2 years of experience in provider credentialing payer enrollment contract administration provider operations medical-staff services revenue-cycle operations or related healthcare administration.

• Hands-on experience with CAQH ProView NPPES PECOS Availity state Medicaid systems or commercial payer portals.

• Familiarity with initial credentialing recredentialing roster management provider demographic changes and payer effective-date verification.

• Experience supporting payer contracting fee-schedule review contract routing amendments or network-development workflows is strongly preferred.

• Behavioral health telehealth or multi-state provider-network experience is a plus.

• CPCS or another credentialing certification is a plus but not required.

• The most important qualifications are operational ownership accuracy persistent follow-through and clear communication.
  
  

• Hourly Compensation: $5$15 per hour

• Work Setup: Fully Remote

Required Experience:

IC