Healthcare Credentialing & Contracts Specialist

PACS; Salt Lake City (UT); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Health coverage

PTO & Holidays

HSA & FSA

401(k) plan

Employee assistance program

Job summary

PACS is seeking a Specialist/Coordinator to maintain contracting platforms for affiliated facilities and support the Managed Care Department with Health Plan applications, credentialing documents, and contract education.

You will manage credentialing status with Health Plans, maintain credentialing records, assist with contract loading, register facilities with SAM.gov, and coordinate with MNS training and loading of documents, contributing to nationwide contracting efforts.

Qualifications

• Maintains credentialing status of facilities with Health Plans by timely submission of applications and documentation.
• Performs audits of certifications and updates Health Plans to ensure compliance.
• Assists Managed Care with Health Plan contracting from credentialing to loading contracts and notifying facilities.

Responsibilities

• Maintain facility credentialing status with Health Plans; submit required documentation timely.
• Maintain shared credentialing drive and audit certifications; notify Health Plans of updates.
• Assist with Health Plan contracting process, proper filing/loading of contracts, and facility notification.
• Register and renew facilities with SAM.gov; track registration/status.
• Maintain Facility profiles in Credentialing Point and assist with MNS training for authorization and claims access.
• Coordinate with MNS on loading new or revised credentialing documents; complete Health Plan Credentialing documents.

Skills

Credentialing workflows

Contracting coordination

Data management

Auditing documents

Tools

Credentialing Point

SAM.gov

Job description

PACS is seeking a Specialist/Coordinator to maintain contracting platforms for affiliated facilities and support the Managed Care Department with Health Plan applications, credentialing documents, and contract education.

You will manage credentialing status with Health Plans, maintain credentialing records, assist with contract loading, register facilities with SAM.gov, and coordinate with MNS training and loading of documents, contributing to nationwide contracting efforts.