Future Opening: Credentialing Coordinator
Full Time • Fully Remote - US
The Credentialing Coordinator is responsible for accurately completing clinician and group payer enrollment applications, revalidations, and conducting payer research for our Minnesota clinics. This role ensures that all providers' qualifications and credentials are up-to-date, facilitating their approval as in-network providers with insurance companies. With upcoming Minnesota clinical expansion, we anticipate this role will take on credentialing special projects. This is a FT position, and we are able to hire candidates in the following states: AZ, CO, FL, GA, IL, IN, KS, MI, MN, NB, NC, ND, OH, PA, TX, VA, and WA.
Primary Responsibilities:
- 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.
Competencies (Knowledge, Skills, & Abilities):
- 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
Education and Experience:
- High School Diploma
- 1+ years of Minnesota behavioral health provider credentialing and payer enrollment experience preferred
What We Offer:
- 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
Compensation:
- This is a FT, non-exempt position. The hourly rate for this position is $22-26/hr, depending on experience and qualifications.
Ellie was proudly founded by clinicians on the principle of destigmatizing mental health. The mental health industry is full of barriers, and we have made it our goal to fill the gap and find innovative ways to break down these barriers for our local communities. We are excited to expand across the country by partnering with local leaders in your community.
Our clinics are structured to remove many of the obstacles that get in the way of providing world-class mental health services. Ellie makes the clinician’s experience a priority by offering excellent compensation, benefits, training, flexible scheduling (FT/PT), CEU’s, and an incredibly inclusive environment. Additionally, Ellie assists in providing centralized administrative support, technology, some referral support, scheduling, and client/therapist matching.
Ellie Mental Health is 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.
This is a remote position.
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.
Seeking creative & collaborative humans with a passion for changing mental health care in fun and meaningful ways.
Don’t meet EVERY requirement?
Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. Ellie Mental Health is devoted to purposefully building an inclusive and diverse workplace where all of our humans can be their authentic selves! (Authenticity is one of our core values, after all…) If you’re excited about the chance to be a change-maker with us, but your past experience doesn’t perfectly align with every single qualification of the job description, we encourage you to apply anyways. Our mental health jobs need dedicated individuals from every background who are willing to care for others. And who knows, you might just be the perfect candidate for another role!
Employee Experience
We take care of our people. It’s that simple. From investing in their financial future, to providing wages that shatter the ceiling in our industry to reasonable caseload expectations we ensure that our people are happy. Happy employees do better work and provide better client care! No matter what it is that you do in your mental health career at Ellie, our clients depend on us cultivating an environment where our employees can thrive so that they can thrive too!
Y’all, jobs in mental health are tough jobs with a high risk of emotional fatigue and burnout. At Ellie, we use all of our core values of humor, creativity, authenticity, acceptance, determination, and compassion not just out in our communities, but we turn them inwards too! Our employees have clear growth paths for advancing their careers.
We have created a culture that reminds us that our employees are our leaders!
Company Structure
Ellie is a socially responsible for-profit business, which allows us to be flexible and responsive to our community’s needs. Many mental health and wellness-focused companies are non-profits or government agencies, which rely on the general public, grants, or large donors for funding. This model often results in little creativity and lower compensation for employees, promoting a work culture that just makes people feel “blah.”
Feeling blah doesn’t help employees stay motivated, engaged, or even in their jobs for a very long time! So we created a new model: one that puts flexibility, innovative decision-making, creativity, and our people first, while remaining a socially conscious and responsible for-profit business focused on changing how we treat mental health.
In short, we’re just people helping people. Wanna join the herd?
(if you already have a resume on Indeed)
Or apply here.
A company rooted in values of creativity, humor, compassion, acceptance, determination, and authenticity
Unique pay model with industry leading compensation
Comfortable, furnished offices and clinic environment