Experity logo
Experity

#1 urgent care platform | The front door to on-demand care

Contracting & Credentialing Relationship Manager

Location

Idaho + 5 moreAll locations: Idaho | Illinois | Virginia | West Virginia | Wisconsin | Wyoming

Posted

10 days ago

Salary

$21 - $25 / hour

Seniority

Mid Level

Associate Degree2 yrs expEnglish

Job Description

Contracting & Credentialing Relationship Manager

Experity

• 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.

Job 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.

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