Payer Contract & Credentialing Coordinator

Elwyn
Pennsylvania
Overview:

Join a Team That Changes Lives

For more than 170 years, Elwyn has been leading the way in supporting children, teens, and adults with autism, intellectual and developmental disabilities, and behavioral health challenges. As a mission-driven nonprofit, we’re here to create real change – helping people lead meaningful, fulfilling lives.

Now, we’re looking for passionate team members to join us. Here, your work will change lives – including your own. You’ll make an impact every day, find purpose in what you do, and grow in a career that truly matters.

At Elwyn, we take care of you while you care for others. We offer:

  • 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

Join us and be a part of something bigger. Apply today.

Responsibilities:

Elwyn seeks a Payer 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.

Equal Opportunity Employer:

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.

ELW 20399 2025-2569

Posted 2025-11-13

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