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About the Role

Legion Health is seeking a Credentialing & Payer Contracting Coordinator to manage the workflows for clinicians to become credentialed with payers and ready for billing. This role is crucial in ensuring efficient operations within our AI-native psychiatry network, aiming to provide accessible mental health care.

Responsibilities

• Coordinate initial credentialing, payer enrollment, and recredentialing for new and existing clinicians.
• Collect, review, and organize provider documentation, including licenses, DEA registrations, 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 Legion’s privacy, security, and access-control requirements.

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.

Skills

• CAQH ProView
• NPPES
• PECOS
• Availity
• State Medicaid systems
• Commercial payer portals
• Provider credentialing
• Payer enrollment
• Contract administration
• Provider operations
• Medical-staff services
• Revenue-cycle operations
• Healthcare administration
• Roster management
• Provider demographic changes
• Payer effective-date verification
• Payer contracting
• Fee-schedule review
• Contract routing
• Amendments
• Network-development workflows
• Behavioral health
• Telehealth
• Multi-state provider-network experience
• CPCS certification

Location

• Fully Remote

Work Type

• Contract
• Fully Remote

Experience Level

• 2+ years

Salary/Compensations

• $5–$15 per hour

About the Company

• Legion Health believes everyone deserves fast, affordable, and effective mental health care—and we’re 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 health—and a better experience for patients and clinicians, powered by both humans and AI.