
Contracting & Credentialing Relationship Manager - Full Time
- USA
- Permanent
- Full-time
- Benefits – Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.
- Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful!
- Employee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.
- Flexibility – 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.
- Paid Time Off (PTO) - 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.
- Career Development – Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
- Team Building – 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.
- Total Compensation - 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.
- Facilitate client calls related to contracting and payer enrollments.
- Run and analyze client KPI's, providing regular reports.
- 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.
- Associates degree in business, healthcare administrator, related field or equivalent combination of education and experience.• 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.
- Understands role on the team and works to achieve goals to the best of your ability.
- Working within a team means there will be varying opinions and ideas. Active listening and thoughtfully responding to what your team member says.
- Take responsibility for your mistakes and look for solutions. Understand how your actions impact team.
- Provides assistance, information, or other support to others to build or maintain relationships.
- Maintaining a positive attitude. Tackle challenges as they come, and don’t let setbacks get you down.
- Gives honest and constructive feedback to other team members.
- When recognizing a problem, take action to solve it.
- Demonstrates and supports the organization's core values.
- Team First
- Lift Others Up
- Share Openly
- Set and Crush Goals
- Delight the Client
- Electronic Medical Records (EMR): Software that healthcare providers use to input patient data, such as medical history, diagnoses, treatment plans, medications, and test results.
- Patient Engagement (PE): Software that shows patients the wait times at various clinics, allows patients to reserve a spot in line if there's a wait, and book the appointment.
- Practice Management (PM): Software that the clinic front desk staff uses to register the patient once they arrive for their appointment.
- Billing and Revenue Cycle Management (RCM): Software that manages coding, billing and payer contracts for clinics so they don’t have to.
- Teleradiology: Board certified radiologist providing accurate and timely reads of results from X-rays, CT scans, MRIs, and ultrasounds, for our urgent care clients.
- Consulting: Consulting services for urgent care clinics to assist with opening, expanding and enhancing client's businesses