The Insurance Contracting Specialist reports to the Insurance Contracting and Payer Relations Supervisor. In this role, you will be a member of the Insurance Contracting Department. You will be in contact with Healthcare providers and Multi-Specialty groups in accordance with corporate guidelines with the team goal of securing single case agreements (SCA), insurance contracts and credentialing with healthcare providers. Responsibiliites:Initiates time sensitive, one-time payment agreements with ... more details
Job Description
The Insurance Contracting Specialist reports to the Insurance Contracting and Payer Relations Supervisor. In this role, you will be a member of the Insurance Contracting Department. You will be in contact with Healthcare providers and Multi-Specialty groups in accordance with corporate guidelines with the team goal of securing single case agreements (SCA), insurance contracts and credentialing with healthcare providers.
Responsibiliites:
Initiates time sensitive, one-time payment agreements with providers to meet required turnaround times.
Communicates effectively with all parties involved in the SCA’s, insurance contracts and credentialing processes.
Researches and analyzes the healthcare market to identify providers for potential partnerships starting with an SCA and/or payer contract.
Secures SCA’s, insurance contracts and credentialing where needed in compliance with company templates, reimbursement structure standards, and other key process controls.
Establishes and maintains strong business relationships with providers.
Provides explanations and interpretations within area of expertise.
Uses pertinent data and facts to identify and solve a range of problems within area of expertise.
Prioritizes and organizes own work to meet strict deadlines.
Any other duties requested.
This is a hybrid position requiring a minimum of 3 days in office per week.
For a virtual tour of the facility, please visit our website at?centerfordiscovery.com
Qualifications
High School Diploma or GED required
Comfortable making outbound calls to potential new healthcare providers
Medical knowledge / experience is desirable (claims, benefits, EMR systems (KIPU), SAP systems (Salesforce), contract negotiation)
Not sure if you meet all the qualifications? Apply anyway! To provide truly innovative care, we need to have a diverse team around us. That’s why Discovery Behavioral Health is committed to creating an inclusive environment. If you find yourself meeting some but not all the above, we’d be happy to consider your application.
Additional Information
We are proud to be an EEO employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, or national origin.
For more information about our company benefits, please visit us at discoverybehavioralhealth.com/careers/
Discovery Behavioral Health seeks to build a diverse staff that is reflective of the patients we serve and the communities where we work. DBH encourages multiple perspectives, experiences, and strives to hire and retain a diverse workforce.
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