Contracting & Credentialing Relationship Manager

🔥 0 minutes ago

🥔 Idaho, Illinois, +4 more states – Remote

🥔 Idaho – Remote 🌽 Illinois – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $21 - $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Account Manager

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Experity

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Experity is the leading software and services company for on-demand healthcare in the U.S. urgent care market, providing an integrated operating system complete with electronic medical record, practice management, patient engagement, billing, teleradiology, business intelligence, and consulting solutions. Fifty percent of the U.S. urgent care market runs on Experity solutions. With Experity, providers can best meet the demands of the evolving on-demand space and deliver high-quality, high-velocity care by streamlining operations, improving patient experiences, and optimizing revenue. A GTCR portfolio company, Experity’s leadership is comprised of growth-minded urgent care experts and business leaders committed to improving on-demand healthcare for all.

📋 Description

• Facilitate client calls related to contracting and payer enrollments. • Run and analyze client KPI's, providing regular reports. • Research and interpret payer enrollment requirements under guidance, including basic state or payer-specific rules. • Prepare and submit payer enrollment applications and follow up to ensure completion. • Build approved payers in the enrollment software. • Create and assign contract analyst workflows upon receipt of payer contracts to review. • Manage client health throughout the full contracting and payer enrollment process. • Review and analyze client contracting and payer enrollment data within the enrollment software platform. • Ensure timely processing of location additions, demographic updates, and revalidations. • Conduct payer research to determine enrollment requirements, contract effective dates, and contract types. • Other duties as assigned.

🎯 Requirements

• Associates degree in business, healthcare administrator, related field or equivalent combination of education and experience. • Two years experience in healthcare contracting, payer enrollment, or a related field. • Strong analytical skills with the ability to interpret and report on KPI's. • Proficiency in enrollment software and workflow management. • Excellent communication skills, both verbal and written. • Ability to manage multiple tasks and work efficiently in a fast-paced environment. • Experience facilitating client calls, meetings and presentations. • Proficiency in provider contracting, credentialing, or payer enrollment. • Proficiency of CAQH, Medicare PECOS, state Medicaid portals, and major commercial payer systems. • Preferred: Experience working with commercial and government payers. • Knowledge of credentialing and provider data management.

🏖️ Benefits

• Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision. • All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful! • This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more. • Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance. • Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones. • Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals. • We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party. • Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.