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Job Details

Credentialing Contract Support Specialist

Company name
U.S. Renal Care Inc

Location
Plano, TX

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Profile

The Credentialing and Contract Support Specialist will work closely with Contracting Manager and the Department Vice President as well as other internal departments to manage all health plan credentialing and other contact maintenance activities. The Specialist will also assist with health plan relationship management, as well as conduct research and outreach to determine appropriate contact persons for different functions at each health plan.

Responsibilities:

Assist with the health plan credentialing and re-credentialing application process for all clinics

Assist in the negotiation and management of all single patient agreements

Coordinate with claims on prompt pay agreements to ensure consistency

Load all new agreements into appropriate corporate management tools, such as the contract matrix and contract management system

Notify all clinics of new agreements

Research and outreach to determine appropriate health plan personnel to discuss contracting, credentialing, and other activities as needed

Other duties and special projects as assigned

Requirements:

College degree preferred but not required; degrees in business, finance or health care management a plus

Proficiency with all Microsoft Office products, including Outlook, Excel, and Word

Intermediate or advanced analytical skills (Excel, Access, other data management or data modeling) a plus

2-3 years of experience with a health plan or provider a strong plus; prefer previous work in contracting, contract management and credentialing, provider operations, or related project-management roles

U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran

Job Requirements

Careers.org gives you access to over a million jobs and career opportunities across the US including in Plano. Find your perfect job and apply directly through a simply online application process

Company info

U.S. Renal Care Inc
Website : http://www.usrenalcare.com/

Company Profile
U.S. Renal Care was founded in 2000 and serves more than 23,000 patients in 300 dialysis facilities in 31 states and the Territory of Guam. We have a unique business model, developing and operating dialysis centers in joint venture partnerships with leading local nephrologists. Learn more about our company and its background. At our core, we exist to serve our patients. In fact, we like to say that we are inspired by our patients. We do our best to provide compassionate care, where and when patients need it. Learn more about our mission. We wouldn’t be a leading dialysis provider without our leadership team. Each team member brings decades of healthcare and business experience to their roles. Learn more about our leadership team.

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