Job Information
Mindful Support Services Compliance and Credentialing Coordinator in Mountlake Terrace, Washington
About the Role :
The Credentialing Coordinator will oversee all day-to-day delegated credentialing processes and will spearhead Credentialing and Oversight Committee meetings and communication with delegated insurance payors. This role works closely with the Assistant Compliance Manager to ensure adherence to all contractual requirements set by delegated payors. The Delegation Coordinator is a highly collaborative position and will regularly liaise with the Credentialing and Compliance Team, Contracts Team, and Recruiting and Onboarding Team regarding provider approvals, payor processing timelines, formal complaints, and adverse events. Must have have excellent communication skills and a detailed understanding of credentialing processes.
Work Environment:
The position is a hybrid position based at Mindful Support Services’ Mountlake Terrace, WA Headquarters.
Initial and subsequent training will be conducted in-office before switching to a hybrid schedule, so only local candidates will be considered.
This role requires prolonged periods of sitting at a desk and working on a computer.
Responsibilities:
Oversee day-to-day delegated credentialing processes
Facilitate Credentialing and Oversight Committee meetings and complete related operational tasks
Monitor provider preparation for Credentialing and Oversight Committee and provide real-time feedback to Credentialing Specialists and Onboarding Specialists
Triage incoming formal complaints, prepare relevant complaints for review by the Credentialing and Oversight Committee, and coordinate with management as needed
Prepare and submit rosters for delegated payors
Track delegated credentialing metrics and regularly escalate outliers with payor representatives
Complete Monthly Ongoing Monitoring audits and facilitate interdepartmental response to non-compliant providers
Assist with coordination of routine payor audits, prepare needed materials for review, and implement payor feedback as necessary
Collaborate with Credentialing and Compliance Team Managers as well as Onboarding and Recruiting Team Managers to identify and carry out shared objectives
Requirements
Qualifications:
- 2 or more years of relatable credentialing experience preferred
Core Competencies :
Excellent attention to detail
Professional verbal and written communication
Strong organization and time management skills
Proficiency with various office technologies, including CRM systems and Microsoft Office Suite
Benefits
Compensation and Benefits:
75% coverage of health, dental, and vision insurance
12 PTO days accrued annually
4 paid holidays per year
401k matching
Life Insurance
Professional development training and opportunities for advancement
Job Type: Full-time
Salary: $24.00 per hour
We are an equal opportunity employer with a progressive workplace based on teamwork, integrity, and customer service. We are committed to cultivating the long-term professional potential of our team. Applicants from all fields are encouraged to apply. Background check required. Come join a strong team making an impact in the service world of mental health!
It is a conflict of interest to work with Mindful Support Services while a current client of Mindful Therapy Group.