Credentialing & Contracts Specialist (Part-Time)

BMRPartners; California; Vor Ort; USD 27.552 - 41.328; Teilzeit

Zusammenfassung

Bmrpartners is seeking a part-time administrative support professional in California to assist with the credentialing and contracting process. The ideal candidate will have at least 3 years of experience in healthcare, strong Microsoft Office skills, and an ability to work independently.

This role requires excellent communication skills, both verbal and written, as well as strong analytical abilities. Responsibilities include maintaining contract integrity, preparing documents, and tracking contract progress.

Qualifikationen

• Minimum 3 years' experience in healthcare such as medical claims, medical front/back office, contracting or Provider Relations preferred.
• Ability to effectively communicate in English, both verbally and in writing.
• Proficient in Microsoft Office skills.

Aufgaben

• Maintain integrity of contract templates and files.
• Prepare and execute contract documents, ensuring compliance with internal policies.
• Monitor and track progress of all contracts.

Kenntnisse

Administrative support

Communication skills

Microsoft Office proficiency

Analytical skills

Jobbeschreibung

Part time role that will provide administrative support throughout the licensing and regulatory compliance process. Perform duties to ensure and maintain the integrity of BMR Partners, contract templates, and the integrity of the contract files. Develop and maintain strong relations internally and externally to support the contracting and credentialing process.

Requirements

Duties and Responsibilities

• Maintain integrity of contract templates, contract files, correspondence templates
• Prepare and execute contract documents, i.e. initial application, credentialling application and ensuring contracts meet internal policies and regulatory requirements
• Monitor and track progress of all contracts
• Responsible for quality control process of new and revised documents
• Create and maintain licensing renewal calendar to ensure timely follow-up
• Conduct research to assist contracting process
• Assists in scheduling and maintaining the annual payor updating and related follow-up items
• Serves as a communication link between payors and Company
• Develop, maintain and distribute custom contract matrixes
• Investigate and problem-solve concerns relating to contracts and generate basic reports
• Other duties as assigned

Required Qualifications

• Minimum 3 years' experience in healthcare such as medical claims, medical front/back office, contracting or Provider Relations preferred
• Enjoys working in both individual and team settings
• Must be able to work independently, providing management with status updates
• Ability to effectively communicate in English, both verbally and in writing
• Proficient in Microsoft Office skills (Excel, Word, Access, etc.)
• Self-starter, resourceful and able to execute projects in a fluid and fast-paced environment
• Strong analytical skills and attention to detail