Coordinator III

Position Summary:

• This position is responsible, under the supervision of the Sr. Manager of the Payer Enrollment Dept.
• This role is crucial in guiding the company towards scalable solutions that delight our patients and clients, as well as enable the growth of our business.
• This specific position will primarily focus on behavioral health provider enrollment.

Duties:

• Timely completion of Government, Commercial enrollment applications for behavioral health providers and groups.
• Develop working knowledge of behavioral health payor policies for multiple states.
• Consistently document work assignment progress, enrollment follow-up status, and relevant in-process tasks within the specified systems and time frames.
• Update and maintain all necessary government credentialing and revalidations for all providers. Interact with providers via phone or email as needed.
• Ability to proficiently communicate and collaborate with Regional Directors, Credentialing team, AR partners to resolve provider denials and credentialing-related claims issues.
• Works with Manager of Provider Enrollment when changes are needed for the procedure manual to ensure all payor enrollment processes are documented accurately and effectively.
• Responsible for all aspects of user online access (i.e., Web portals).
• Attend conference calls with client and/or team meetings as requested.

Education & Experience:

• High school diploma or GED required.
• Bachelors Degree in Business Administration, Marketing, Finance or similar field preferred.
• 2+ years of relevant work experience.
• Preferred: 1–2 years of experience with government payers (Medicare/Medicaid).
• Not required: Candidates without direct experience will be considered if they show willingness to learn.
• Insurance experience is considered a strong transferable skill.

Soft Skills:

• Reliable and consistent attendance.
• Willingness to work on-site.
• Strong communication and organizational skills.

Interview & Logistics:

• Interview Format: Microsoft Teams (virtual).
• Interview Timeline: 1–2 business days after resume review.
• Rounds: Single interview round.
• Pre-Screening: Required; candidates should note any relevant experience or lack thereof clearly.