Credentialing & Payer Contracting Coordinator

About the Company

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.

Responsibilities

• Coordinate initial credentialing, payer enrollment, and recredentialing for clinicians
• Collect and organize provider documentation including licenses, DEA registrations, and malpractice coverage
• Maintain provider profiles in CAQH ProView, NPPES, PECOS, and commercial payer portals
• Prepare, submit, and track enrollment applications and roster additions
• Follow up with payer representatives via phone, email, and portals to resolve stalled applications
• Support the payer-contracting lifecycle including agreement intake and signature routing
• Maintain a reliable source of truth for provider application status and contract effective dates
• Coordinate with revenue cycle, finance, and billing teams to ensure billing readiness
• Monitor licenses and recredentialing deadlines to prevent interruptions in participation
• Identify recurring issues and improve workflows through better templates and documentation

Requirements

• 2+ years of experience in provider credentialing, payer enrollment, or healthcare administration
• Hands-on experience with CAQH ProView, NPPES, PECOS, or commercial payer portals
• Proficiency in spoken and written English
• Exceptional attention to detail regarding NPIs, TINs, and taxonomy codes
• Ability to work 8:00 AM–5:30 PM Central Time

Preferred Qualifications

• Experience supporting payer contracting and fee-schedule review
• Behavioral health, telehealth, or multi-state provider-network experience
• CPCS or other credentialing certification