Contracting and Credentialing Specialist
Must reside in California or Arizona to be considered.ContractMiddle
Salary35 USD per hour
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Job Details
- Experience
- 3+ years
- Required Skills
- Project ManagementMicrosoft Office Suite
Requirements
- Bachelor’s degree in business administration, healthcare management or related field preferred.
- 3+ years of work experience in credentialing and contracting within healthcare.
- Proven ability to manage provider credentialing workflows and secure insurer contracts.
- Strong organizational skills and ability to manage multiple files/contracts simultaneously.
- Excellent communication skills with a results-driven approach.
- Proficiency with Microsoft Office Suite and credentialing/contracting portals.
- Understanding of California Advancing and Innovating Medi-Cal (Cal-AIM) preferred.
- Understanding of Arizona Health Care Cost Containment System (AHCCCS) preferred.
Responsibilities
- Review current plans and design a timeline for additional plans in collaboration with leadership.
- Make initial contact with provider enrollment for each plan.
- Oversee the application and credentialing process.
- Prepare, submit and track all contracting paperwork and credentialing files.
- Serve as primary point of contact for credentialing activities.
- Monitor credentialing timelines and perform follow-up.
- Maintain an organized tracking system of statuses, rates, and renewals.
- Report to leadership on credentialing completions and contract progress.
- Ensure fully executed contracts are uploaded and shared with relevant internal teams.
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