Senior Credentialing & Contracts Lead

Wollborg Michelson Personnel Service Inc; Alpharetta (GA); In loco; USD 65.000 - 90.000; Tempo pieno

Descrizione del lavoro

Wollborg Michelson Recruiting seeks an experienced Senior Producer Contracting Specialist to support producer credentialing, recredentialing, contracting, and agreement administration. The role leads a team, provides guidance and training, and drives issue resolution, process improvement, and compliance with state and federal requirements.

The position involves researching complex inquiries, preparing reports, maintaining documentation, and assisting with audits.

Competenze

• High school diploma or equivalent required.
• Minimum 3 years of relevant experience preferred in insurance or healthcare.
• Experience with producer credentialing, contracting, appointments, or regulatory processes preferred.
• Strong customer service, communication, and teamwork skills expected.
• Excellent attention to detail and data-entry accuracy.
• Strong analytical, problem-solving, and reasoning abilities.

Mansioni

• Prepare and reconcile payment request approval forms and appointment invoices.
• Manage and resolve outstanding appointment and agent fee agreements.
• Research and resolve complex or sensitive producer appointment and contracting inquiries.
• Monitor departmental mailboxes and respond to or assign producer inquiries within established timeframes.
• Prepare reports related to appointments, agent fee agreements, and renewals.
• Maintain and update policies, procedures, appointment grids, fee charts, and supporting documentation.
• Provide guidance and training to producer credentialing specialists on appointments, agreements, invoices, and renewals.
• Support appointment and agent fee agreement teams during peak periods.
• Manage producer appointments and applications for business partners.
• Compile and validate information for regulatory and internal or external audits.
• Participate in system maintenance and upgrade testing.
• Complete special projects and other duties as assigned.

Conoscenze

Customer service

Communication

Teamwork

Attention to detail

Data-entry accuracy

Analytical thinking

Formazione

High school diploma or equivalent

Strumenti

Microsoft Excel

Microsoft Word

Outlook

SharePoint

Teams

Descrizione del lavoro

Wollborg Michelson Recruiting seeks an experienced Senior Producer Contracting Specialist to support producer credentialing, recredentialing, contracting, and agreement administration. The role leads a team, provides guidance and training, and drives issue resolution, process improvement, and compliance with state and federal requirements.

The position involves researching complex inquiries, preparing reports, maintaining documentation, and assisting with audits.