Luna is growing our Therapist Credentialing team! The Therapist Credentialing Associate II independently manages standard credentialing workflows for therapists on the Luna platform. This role is responsible for executing accurate primary source verification, maintaining regulatory compliance, and ensuring therapist files are complete, audit-ready, and submitted on time. The Associate II regularly interfaces with cross-functional partners, adapts to evolving processes, and contributes to larger operational initiatives while maintaining a high bar for detail, communication, and accountability. This role operates with moderate autonomy, requiring sound judgment, strong organizational skills, and the ability to identify and escalate risks appropriately.
Responsibilities:
- Independently manage end-to-end credentialing tasks for assigned therapists, including document review, primary source verification, and application readiness.
- Ensure credentialing files meet internal policy standards and external payer, partner, and regulatory requirements.
- Maintain accurate and timely updates in HubSpot and related credentialing systems, including CAQH and CMS related workflows.
- Communicate directly with therapists to request missing information, clarify discrepancies, and provide status updates in a professional and supportive manner.
- Identify inconsistencies, errors, or gaps in credentialing documentation and proactively resolve or escalate them.
- Collaborate with Enrollment, QA, Therapist Success, and other cross-functional partners to support timely onboarding and issue resolution.
- Participate in cross-functional or department-level projects by providing input, updates, and incorporating feedback throughout the project lifecycle.
- Adapt to changes in tools, workflows, policies, and regulatory requirements while maintaining productivity and accuracy.
- Contribute to audits, quality reviews, and process improvements by applying feedback and adjusting workflows as needed.
- Support onboarding or knowledge sharing for Credentialing Associate I team members through informal guidance and collaboration.
Qualifications:
- 1 to 3 years of experience in healthcare credentialing, provider enrollment, or a closely related operational role.
- Demonstrated proficiency with credentialing systems and tools, including CRM platforms, CAQH, and CMS related processes.
- Strong attention to detail with a consistent record of producing accurate, compliant work.
- Effective written and verbal communication skills, including the ability to explain complex requirements clearly to therapists and internal partners.
- Proven ability to manage multiple credentialing files simultaneously while meeting deadlines.
- Ability to identify problems, assess root causes, and propose or execute solutions within defined processes.
- Comfort working in a fast-paced, evolving environment with changing priorities.
Originally posted on Himalayas