Senior Managed Care & Credentialing Specialist

The US Oncology Network; Tucson (AZ); On-site; USD 45,000 - 60,000; Full time

Job summary

A healthcare network specializing in oncology is seeking an Administrative Support professional to maintain managed care contract requirements, audit documentation, and produce reports. Candidates should have at least two years of managed care and credentialing experience, along with medical billing background. Proficiency in Microsoft Office is essential, and the role requires in-person presence during business hours, involving direct interaction with coworkers and clients. This position offers opportunities for process improvements and monitoring compliance with contract rates.

Qualifications

• Minimum of two years managed care and credentialing experience.
• Four years combined medical billing and payment experience.
• Working knowledgeable of state, federal, and third party claims processing.

Responsibilities

• Provide administrative support to managed care function.
• Enter payer contracts/rates into the management system.
• Produce managed care paid claims reports monthly.

Skills

Managed care experience

Medical coding

Proficiency in Microsoft Office

Attention to detail

Education

High school diploma or equivalent

Associates degree in Finance or Business

Job description

A healthcare network specializing in oncology is seeking an Administrative Support professional to maintain managed care contract requirements, audit documentation, and produce reports. Candidates should have at least two years of managed care and credentialing experience, along with medical billing background. Proficiency in Microsoft Office is essential, and the role requires in-person presence during business hours, involving direct interaction with coworkers and clients. This position offers opportunities for process improvements and monitoring compliance with contract rates.