Credentialing Coordinator

• Submit credentialing applications for all new and existing clinical staff, including psychotherapists, psychologists, and medication management providers, through platforms such as CAQH, PECOS, and MCC.
• Maintain up-to-date provider information and submit re-credentialing requests promptly.
• Responsible for managing compliance with Minnesota Statute 604.202 for all new clinician staff.
• Notify insurance companies of any demographic changes for individual providers or group locations, including additions, updates, or terminations.
• Identify and report any potential issues or concerns with provider credentials.
• Maintain detailed and organized records of all credentialing activities and documentation.
• Create and maintain credentialing files, consistent with policies and procedures.
• Research payer credentialing requirements and stay current with requirements.
• Investigate and solve any issues that may arise during the credentialing process.
• Manage the tracking of expiration dates for applicable clinical licenses and insurance policies. Communicate with Compliance if licenses and/or insurance policies are not renewed.
• Provide excellent customer service to providers and internal teams, addressing any questions or concerns in a timely and professional manner.
• Ensure providers' credentialing status is communicated promptly and accurately to the Client Access Team via the Ellie Match tool.
• Collaborate with team members to continuously improve and streamline the credentialing & licensing review process.
• Assist in developing and implementing processes and procedures related to credentialing and clinician licensing tracking.
• Ensure accuracy and compliance with all applicable laws, regulations, and organizational standards.
• Other duties as assigned including, but not limited to, providing logistical support, including booking hotel reservations for Clinic Directors, to facilitate Minnesota Clinical Operations events held at corporate offices.

• Proficient in navigating credentialing databases and insurance platforms and resources
• Ability to work independently and collaboratively with other teams to achieve goals
• Strong communication skills, both verbally and in writing; clear, concise, and professional
• Exhibit good judgement, honesty, integrity, responsibility, and punctuality
• Ability to analyze issues and suggest or determine solutions
• Ability to identify and seek needed information/research
• Excellent organizational skills and attention to detail
• Ability to work well in a fast-paced, changing environment
• Excellent time management skills with a proven ability to meet deadlines
• Ability to perform, organize, and prioritize work independently.
• Proficient in utilizing computers, typing, and navigating multiple applications/systems simultaneously.
• Strong working proficiency with Microsoft Office products including Outlook, Calendar, Teams Chat, Word, Excel, PowerPoint, etc.
• Proficient in using electronic health records (EHR) systems.
• Maintains strict confidentiality handling client information in compliance with HIPAA guidelines and Ellie policies.
• Demonstrates awareness, inclusivity, sensitivity, humility, and experience in working with individuals from diverse ethnic backgrounds, socioeconomic statuses, sexual orientations, gender identities, and other various aspects of culture

• High School Diploma
• 1+ years of Minnesota behavioral health provider credentialing and payer enrollment experience preferred

• Great Full-time Benefits: Medical, dental, vision plans & disability insurance options
• Free access to virtual urgent care and short-term counseling
• 401k - up to a 4% match!
• Paid time off + Paid Holidays
• Employment models that prioritize creativity, culture, and compensation
• Amazing colleagues who are passionate about destigmatizing mental health
• Hybrid work arrangements - but you must be local to the Minneapolis metro and be available to attend in person meetings in Mendota Heights

• This is a FT, non-exempt position. The hourly rate for this position is $22-26/hr, depending on experience and qualifications.

We are an equal opportunity employer and all qualified applicants will receive
consideration for employment without regard to race, color, religion, sex,
national origin, disability status, protected veteran status, or any other
characteristic protected by law.