Operations & Compliance Coordinator

Job Description

Job Description

Salary:

We are seeking anOperations Coordinatorto serve as a central support role for client services, front desk operations, billing, credentialing, and revenue cycle processes. This position blends administrative excellence with a heart for service and strong organizational skills. TheOperationsCoordinator ensures a smooth, welcoming experience for clients while supporting providers andmaintainingefficient, compliant business operations behind the scenes.

This role is critical to client access,providersreadiness, and the financial health of the agency.

Client OnboardingCoordination

• Coordinate with referral partners, clinicians, billing, and credentialing to ensure complete onboarding

• Conduct insurance verification and obtain authorizations asrequired

• Follow up on referrals, hospital discharges, and missing or incomplete documentation

Scheduling & EHR Management

• Enter, update, andmaintainaccurateclient, insurance, and provider data in the EHR system

• Optimizeprovider schedules to support productivity and continuity of care

• Scan, upload, andmaintainaccuratedigital documentation in client and provider records

Billing & Revenue Cycle Support

• Verify insurance eligibility, benefits, and coverage

• Track claim statuses, denials, and follow-up actions in coordination with billing partners

• Assistwith authorization tracking and payer requirements

• Communicate with clientsregardingbilling questions, balances, and insurance-related matters as appropriate

Provider Credentialing Support

• Assistwithinitialcredentialing and re-credentialing of providers with insurance panels

• Maintain credentialing files, CAQH profiles, licenses, and required documentation

• Track credentialing timelines, expirations, and payer communications

• Coordinate with providers and leadership to ensuretimelycredentialing and compliance

Organizational Values & Operations

• Demonstrate commitment to the mission, vision, and values ofCaregiver Grove

• Maintain confidentiality and compliance with HIPAA and agency policies

• Support operational efficiency, workflow improvements, and team collaboration

• Perform other duties as assigned to support client care and agency operations

QUALIFICATIONS:

• Bachelors Degree

• 5+ years of experience in a behavioral health environment

• Experience working with payer-provider relations teams on trending payer issues, as well as working cross-functionally (including credentialing, support, contracting, and account management) to improve internal workflows

• EHR experience

• Billing and/or Coding certification preferred.

• Advanced Microsoft Word, Excel, Access, and PowerPoint skills. Must be able to work with spreadsheets.

• Expert knowledge of CPT and ICD-10coding,electronic billing isrequired.

• Excellent written and oral communication skills

• Advanced Excel skills withabilityto create polished and streamlined reports and illustrations.

• Strong organizational, time management, multi-taskingand problem-solving skills and abilities.

• Must be highly analytical andsolutions-oriented.

• Ability to excel in a high-growth, fast-paced environment.