Copy of Credentialing Coordinator

About MindCare Solutions

MindCare Solutions MindCare Solutions is a premier provider of behavioral health services, supporting hospitals, emergency departments, inpatient behavioral health units, long-term care centers, correctional settings and various other clinical settings.

We partner with healthcare organizations to deliver top-tier, end-to-end behavioral health solutions, integrating evidence-based care pathways, advanced technology, and exceptional providers.

Our organization is committed to enhancing mental health care accessibility and efficacy through innovative solutions and strong partnerships, ensuring that high-quality, patient-centered care is delivered to improve the health and well-being of the communities we serve.

Responsibilities

• Credentialing Coordinator Position Overview The role supports credentialing and licensing visibility by coordinating provider intake, application follow-up, facility credentialing readiness, licensure tracking, expirable monitoring, and timely escalation of blockers that could affect provider start dates or partner coverage.
• The Credentialing Coordinator also guides newly hired providers through the post-offer credentialing readiness.
• The role creates a positive, organized provider experience while ensuring that MindCare has the information needed to place providers appropriately and fulfill partner commitments.
• $55,000-60,000 F/T Location - Telehealth Key Responsibilities NEW PROVIDER CREDENTIALING Serve as the primary point of contact for internal credentialing for new providers.
• Monitor provider progress through the MindCare Internal Credentialing process and follow up on incomplete, missing, unclear, or expired items.
• Communicate clearly with providers.
• Support timely resolution of rate-limiting steps that could delay internal credentialing, facility credentialing, scheduling, deployment, or provider start dates.
• Create or confirm the credentialing/licensing ticket is opened, ownership is assigned, and provider application access and instructions are sent through the credentialing application.
• CREDENTIALING Monitor provider progress through internal credentialing and follow up on missing, unclear, incomplete, or expired items.
• Maintain accurate documentation of provider status, outstanding requirements, facility-specific needs, and deployment readiness.
• Review credentialing application status for completeness, identify missing items, and ensure follow-ups are sent to providers or internal owners.
• Maintain real-time status tracking of provider and facility applications, including outstanding items, credentialing progress, licensing readiness, and facility-specific requirements.
• Ensure provider documentation is evaluated against facility requirements and applicable regulatory and compliance standards.
• Perform or coordinate primary source verification of licensure and board certification, and flag discrepancies, history gaps, expired items, or missing elements.
• Manage hospital/facility credentialing applications and enter, validate, or update affiliation data, including start/end dates and current versus prior affiliations.
• Add or update facility records when missing and communicate with providers to obtain information needed for facility credentialing or affiliation records.
• Track provider state licenses, DEA/CDS registrations, facility privileges, and related expirables to support deployment readiness and compliance timelines.
• Initiate new license applications, renewals, and reappointment/recredentialing processes; coordinate with state boards, providers, and internal stakeholders as needed.
• Identify additional insurance coverage needs, including state-specific requirements, and coordinate next steps with the appropriate owner.
• Process provider enrollment applications for government and commercial insurance networks to secure in-network status.
• Work closely with HR, Recruiting, Credentialing, Scheduling, Clinical Optimization, Partner Success, Revenue Cycle, and partner account stakeholders.
• Escalate workflow delays, incomplete provider action items, partner-specific blockers, scheduling concerns, or credentialing risks to the appropriate internal teams.
• Promote consistent communication between internal departments so providers move efficiently from new hire status to active deployment.
• Receive, track, and follow up on OPPE/FPPE requests in partnership with Care Navigation and Clinical teams.

Requirements

• AND CORE COMPETENCIES Experience in healthcare operations, credentialing coordination, or related administrative leadership.
• Strong understanding of credentialing workflows, healthcare staffing processes, and partner facility requirements preferred.
• Experience working with external partners, healthcare facilities, client accounts, or provider groups preferred.
• Excellent verbal and written communication skills with the ability to explain requirements clearly and drive follow-up to completion.
• Strong organizational skills and ability to manage multiple providers, priorities, timelines, and stakeholders at once.
• Comfort working cross-functionally with Recruiting, HR, Credentialing, Care Navigation, Clinical Operations, Partner Success, and partner-facing teams.
• Proficiency with workflow tracking systems, credentialing platforms, scheduling tools, and Microsoft Office or similar applications; experience with credentialing platforms preferred.
• Core competencies include provider relationship management, partner success support, credentialing and onboarding coordination, recruiting and pipeline awareness, scheduling alignment, problem solving, escalation, attention to detail, and urgency around rate-limiting steps.
• Experience with primary source verification, hospital/facility credentialing applications, affiliation records, state board coordination, and OPPE/FPPE tracking preferred.
• KEY PERFORMANCE METRICS 95% of providers receive outreach within 3 business days of credentialing platform profile creation, and 90% complete the initial onboarding conversation within 5 business days.
• 95% of credentialing requirements, missing items, and rate-limiting issues are documented, updated, and escalated within 1 business day of identification.
• Maintain timely tracking of licenses, DEA/CDS, facility privileges, reappointment/recredentialing timelines, and other expirable.

Benefits

• Full health and wellness (Medical, Dental, Vision) Flexible spending account 401K with 4% match Company paid life insurance Voluntary life/AD&D, short/Long term disability Positive work environment/culture Company paid holidays PTO