Payer Contract & Credentialing Coordinator - Media, PA

Elwyn; Media (Delaware County); On-site; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a Payer Contract & Credentialing Coordinator to enhance the quality of life for individuals with developmental challenges. This role involves processing contracts, collaborating with healthcare professionals, and ensuring compliance with credentialing requirements. The ideal candidate will have a strong background in behavioral health and contract management, along with excellent organizational skills. Join a dedicated team that values innovation and offers a comprehensive benefits package, including generous paid time off and career advancement opportunities.

Benefits

Generous Paid Time Off

Comprehensive Medical/Dental/Vision Benefits

Earned Wage Access

Paid On-the-Job Training

Tuition Reimbursement

Career Advancement Opportunities

Flexible Schedules

Retirement Savings Plan

Qualifications

• 4 years of experience in behavioral health care industry.
• Knowledge of Medicare, Medicaid, and contract submissions.

Responsibilities

• Process payer contracts for Elwyn and Fellowship Health Resources.
• Coordinate meetings with payors and program department heads.
• Provide credentialing support and maintain contract records.

Skills

Behavioral Health Experience

Contract Management

Credentialing Knowledge

Microsoft Office Suite

Attention to Detail

Time Management

Education

Bachelor's Degree

High School Diploma with Experience

Tools

Intelagree

CAQH

Job description

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Payer Contract & Credentialing Coordinator

#ELW-20399 | Posted 03/05/2025

Multiple Locations + 2 more

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Payer Contract & Credentialing Coordinator

#ELW-20399 | Posted 03/05/2025

Multiple Locations

+ 2 more

Apply for this job now! Apply

Job Description

Since 1852, Elwyn has helped people with autism, intellectual, developmental, and behavioral challenges lead meaningful lives. As an internationally recognized nonprofit human services organization, we have always been on the forefront of innovation.

Please join us to make a difference in the life quality of children, teens and adults with autism, intellectual and developmental disabilities, and related behavioral health challenges - and feel the resulting pride that will enrich your own life.

Providing an excellent benefits package is another way we know that Elwyn is truly a special place to work. We invest in your future while you help care for ours:

• Generous Paid Time Off
  


• Comprehensive Medical/Dental/Vision Benefit Packages
  


• Earned Wage Access/On-Demand Pay


• Paid On-the-Job Training
  


• Tuition Reimbursement
  


• Career Advancement Opportunities and Growth
  


• Flexible Schedules
  


• Retirement Savings Plan

Elwyn seeks a Contract and Credentialing Coordinator. This administrative role is performed under the supervision of the Director of Payor Contracts and Credentialing. The Contract and Credentialing Coordinator will process payer contracts for both Elwyn of PA & DE and Fellowship Health Resources. You will coordinate with the Director of Payor Contracts and Credentialing to set, attend, and contribute to meetings with payors and Elwyn's program department heads. This role will organize, track, and maintain contracts using Intelagree. Additionally, in coordination with the Director of Contracts and Credentialing, this role will monitor and advise the Credentialing Coordinator on all contractual credentialing requirements. You will provide credentialing support when necessary, collaborating with licensed professionals, the Credentialing Coordinator, and governing agencies to complete individual and facility/group credentialing tasks.

DUTIES AND RESPONSIBILITIES

• Regularly review, report, and discuss contract details with the Director of Payor Contracts and Credentialing.


• Become efficient in utilizing Intelagree, an automated system to load contracts, initiate the review and approval process, and provide reports.


• Identify opportunities to improve upon current workflow processes.


• Coordinate with the Director of Payor Contracts and Credentialing to ensure that the contract intake process goes smoothly and is executed in a timely manner.


• Must be prepared; sometimes at short notice, to discuss contract details with the supervisor, program regional directors, RCM, and the Finance department.


• Prepare emails, letters, forms and contact and credentialing reports.


• Provide credentialing support as needed which includes, but not limited to, updating CAQH (Council for Affordable Quality Healthcare) accounts, submitting 855, PROMISe and DMAP applications for individual providers and facility/group.


• Perform other duties as assigned

EDUCATION/SKILLS/EXPERIENCE REQUIREMENTS:

• Bachelors degree preferred or HS Diploma with relevant experience.


• Four (4) years of experience in the behavioral health care industry with some combination of contract and credentialing coordinator or specialist role


• Knowledge of 855/Medicare, Medicaid/PROMISe and DMAP application submissions for both group/facilities, as well as CAQH, and Navitas Solutions' function


• Demonstrated working knowledge of behavioral healthcare contracting with commercial insurance, MCO, Medicare, and local government/counties


• Must be able to take and follow instructions and work remotely efficiently.


• Demonstrated ability to work effectively as part of a team and independently


• Ability to work in a fast-paced environment and manage and prioritize multiple, often competing, priorities


• Demonstrated strong attention to detail


• Demonstrated strong time management and organizational skills


• Demonstrated excellent judgment with the ability to independently solve problems and make decisions with little need for direct supervision


• Must possess excellent customer interaction, collaboration, presentation, and written and verbal communication skills


• Demonstrated advance level experience with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint.


• Must possess a current, valid driver's license in state of residence, have a minimum of two (2) years of driving experience within the United States, and have an acceptable driving record.

PHYSICAL DEMANDS/ENVIRONMENTAL PROFILE: See Physical Demands Checklist below which represents the general physical demands and environment conditions to which the employee holding this position must meet, in addition to the duties and responsibilities listed above, to successfully perform the essential functions of this job. Elwyn will engage otherwise qualified candidates for this position whose disabilities may require reasonable accommodations to enable an individual to perform the essential functions.

Elwyn reserves the right to revise or change job duties and responsibilities as needed. This job description is not meant to be an all-inclusive statement of duties and responsibilities of the job nor does it constitute a written or implied contract.

Elwyn is an Equal Opportunity Employer. Elwyn does not discriminate on the basis of race, color, religion, creed, ancestry, pregnancy status, medical condition, gender, gender identity or expression, genetic information, sexual orientation or identity, age, national origin, citizenship, handicap status, marital or family status, mental or physical disability, perceived disability, military or veteran status, political activities or affiliations, or any other characteristic protected under applicable federal, state or local law, ordinance, or regulation.

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Job Details

Job TitlePayer Contract & Credentialing Coordinator

Alternate Locations

Permanent Home Based Employee, Any City Any State, Pennsylvania

111 Elwyn Rd, Media, Pennsylvania 19063

Full-Time/Part-TimeFull-time

Locations

Any City Any State

Media