Contracts and Credentialing Specialist Job at The Elizabeth Hospice
Overview:
Responsibilities:
The Elizabeth Hospice is San Diego’s oldest non-profit hospice of 40 years. We are growing and looking for talented individuals to join our high performing team and support our mission. We serve all of San Diego county and south Riverside county with multiple hospice office locations.
Primary Service Locations: Escondido
We invite you to join us in fulfilling our mission and become a part of The Elizabeth Hospice team. To learn more about this opportunity and apply, please visit our website at: https://elizabethhospice.org/join-our-team Qualifications:
The primary function of the Contracts and Credentailing Specialist is to assist with contract administration and credentialing. This includes quality assurance, developing and maintaining relationships within the provider community contract and credentialing tracking, documentation and notifications related to payors, providers, and vendors.
Responsibilities:
- Assists Contracts Manager in performing a public relations function for the company in the area of contract administration
- Assists to implement and monitor quality assurance standards for managed care, long-term care and vendor contracts, and ensure that all contracts are in compliance with state and federal regulations.
- Assists to maintain contracts database.
- Maintains one-time SNF Agreements, Traveling & Visiting Agreements.
- Updates Health Plan and Medical Group Provider Directories
- Requests annual rate increases with Health Plans and Medical Groups.
- Maintains credentialing & re-credentialing of Health Plans and Medical Groups.
- Assists with credentialing applications as requested by payers and contractors.
- Assists with ensuring up to date credentials of providers.
- Maintains credentialing database.
- Reviews, monitors and processes all correspondence to and from credentialing customers and coordinates the submission of periodic reports.
- Documents, tracks and notifies internal departments of all pertinent contract additions and terminations.
- Tracks due dates for contracted vendor’s licenses & insurance and obtains current documents as needed.
- Assists ContractsManager with preparing Monthly Manager Reports.
- Assists Contracts Managerwith projects involving contracts, business associate agreements, NDAs and payor inquiries and requests.
- Assists Contracts Manager Manager as needed on projects for the Agency.
The Elizabeth Hospice is San Diego’s oldest non-profit hospice of 40 years. We are growing and looking for talented individuals to join our high performing team and support our mission. We serve all of San Diego county and south Riverside county with multiple hospice office locations.
Primary Service Locations: Escondido
Hours: Part time
8:30 am -1:30 Pm
Salary: $20.00 - $29.00/Hourly
We invite you to join us in fulfilling our mission and become a part of The Elizabeth Hospice team. To learn more about this opportunity and apply, please visit our website at: https://elizabethhospice.org/join-our-team
QUALIFICATIONS:
- Bachelor’s degree or a minimum of three (3) years related experience preferred.
- Strong organizational skills required.
- Working knowledge of medical terminology preferred.
- Prefer experience with commercial insurance, Medicare, and Medi-Cal.
- Must demonstrate exceptional customer service and communication skills.
- Must demonstrates proficiency in use of Word, Excel, hospice database and other Office Programs.
- Current driver’s license and proof of insurance preferred.
- Requires maturity and experience to interface with all levels of management and personnel.
We place a high importance on our employees and reward staff in several ways such as:
- Competitive hospice industry compensation
- Benefits package with multiple plan offerings and generous employer contribution
- 401(k) Retirement plan with employer match
- Supportive work culture which encourages work life balance
- Substantial Paid Time Off, paid holidays & birthday benefit
- Employee development program managed by in-house education department to support individualized orientation and professional growth needs.
- Tuition Reimbursement program
- Monthly mileage reimbursement
- Employee Referral Program
- Business casual attire for office staff
"The Elizabeth Hospice is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.”
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