Credentialing & Payer Contracting Coordinator

About the role

At Legion Health, we believe everyone deserves fast, affordable, and effective mental health care - and we're on a mission to deliver it at scale. The Credentialing & Payer Contracting Coordinator owns the end-to-end process of onboarding clinicians into operational and payer systems so they can bill and deliver care without delay. This role owns the orchestration of provider credentialing, recredentialing, payer enrollment, and contracting workflows across a diverse set of commercial and government health plans. You will collect and validate provider documentation, submit applications, manage effective dates, and track agreements to ensure every item reaches a clear resolution. The position requires a proactive, persistent, and adaptable mindset focused on building repeatable processes as the startup scales rapidly. This is a non-clinical and non-legal role with strict boundaries against providing clinical or legal advice, signing agreements, or attesting on behalf of a provider without documented authorization. You will support the operational and financial systems that enable clinicians to focus on patient care while maintaining compliance and accuracy across all payer relationships.

Key facts

What you'll do

Coordinate initial credentialing, payer enrollment, and recredentialing for new and existing clinicians across multiple payer environments.

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 to ensure data integrity and accessibility.

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 to appropriate stakeholders.

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 to keep workflows moving efficiently.

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 and care delivery.

Investigate discrepancies across provider records, payer portals, contracts, directories, and internal systems, and drive each issue through verified resolution with clear ownership and timelines.

Track turnaround times, aging applications, upcoming deadlines, payer bottlenecks, and operational risks through clear weekly reporting to inform leadership decisions.

Identify recurring issues and improve workflows through better templates, checklists, documentation, automation opportunities, and structured escalation paths.

Protect provider information and any patient information encountered by strictly following Legion's privacy, security, and access-control requirements at all times.

Collaborate with internal stakeholders to design and refine onboarding checklists, status dashboards, and communication templates that improve consistency and transparency.

Requirements

You must be proficient in spoken and written English to communicate effectively with payers, clinicians, and internal stakeholders.

You must be exceptionally detail-oriented and able to identify inconsistencies across names, addresses, licenses, NPIs, TINs, taxonomy codes, and effective dates.

You must be organized and comfortable managing multiple applications, contracts, deadlines, and payer conversations without losing track of critical information.

You must be persistent and professional when following up with payers and resolving delayed or incomplete applications under tight timelines.

You must be proactive about identifying risks and escalating issues before they affect provider launches, network participation, or billing.

You must be a quick learner who can adapt to new payer requirements, systems, and internal processes as the startup environment evolves.

You must be comfortable working in a fast-paced startup where processes are continuously evolving and priorities may shift rapidly.

You must be skilled at managing competing deadlines and delivering accurate work even when handling a high volume of applications and communications.

Practical notes

The role operates during standard business hours defined as 8:00 AM to 5:30 PM Central Time, and this schedule defines when core coordination and follow-ups should occur.

This is a fully remote position, meaning work is performed outside of a central office with reliance on digital communication and collaboration tools.

There are no travel requirements associated with this role, and all responsibilities are completed in a remote environment.

No visa sponsorship information is provided within the source materials, so candidates should review eligibility based on existing authorization to work remotely.

Deadlines are managed through weekly reporting and consistent follow-up with payers to ensure applications meet payer timelines and avoid disruptions in provider participation.