Strategic Credentialing Lead for Payer Enrollments

Valley Comprehensive Community Mental Health Center Inc; Morgantown (WV); On-site; USD 52,000 - 68,000; Full time

Job summary

Valley Comprehensive Community Mental Health Center Inc is seeking a Senior Credentialing Coordinator to manage the credentialing lifecycle, payer enrollment, and ongoing maintenance across all programs and locations. You will coordinate with Human Resources, Finance, and leadership to ensure timely submissions and renewals.

The role requires a BA/BS in a related field and at least two years of credentialing experience, with strong attention to detail and proficiency in payer portals and

Qualifications

• BA/BS in healthcare administration, business, or a related field, or an equivalent combination of education and relevant experience.
• At least two years of provider credentialing, payer enrollment, or healthcare administration experience with records and payer requirements.
• Ability to manage a high-volume workload, meet deadlines, and follow through on unresolved issues.

Responsibilities

• Manage the complete credentialing lifecycle for all agency providers, including initial credentialing, enrollment, recredentialing, and maintenance.
• Maintain inventories of employees and contracted providers across programs and locations with accurate records.
• Coordinate with Human Resources and Finance to verify background checks, licenses, and other clearances; track renewal dates.

Skills

Provider credentialing

Payer enrollment

Primary source verification

Documentation practices

Attention to detail

Education

BA/BS in healthcare administration, business, or related field

Tools

CAQH

NPPES

Gainwell

Job description

Valley Comprehensive Community Mental Health Center Inc is seeking a Senior Credentialing Coordinator to manage the credentialing lifecycle, payer enrollment, and ongoing maintenance across all programs and locations. You will coordinate with Human Resources, Finance, and leadership to ensure timely submissions and renewals.

The role requires a BA/BS in a related field and at least two years of credentialing experience, with strong attention to detail and proficiency in payer portals and