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Home / Payer Contracting Services Specialist, Temp

Payer Contracting Services Specialist, Temp

  • Temporary
  • Anywhere

CHG Healthcare

Healthcare’s helping hand.

CHG shook things up in 1979 by inventing the locum tenens staffing model. We connect doctors with patients who need their care. As the largest physician staffing firm in America, our providers treat millions of patients each year.

Our industry is growing and demand is high. This means you’ll have plenty of opportunities to grow and develop in your career. Keeping healthcare healthy can be as fun as it is rewarding.”

ModioHealth is looking for a Payer Contracting Support Specialist, Temp to join ourExtended Credentialing Services (XCS) team. Your primaryobjectiveis to work with new and/or existingModioXCS clients to secure in-network healthcare payer contracts. Your role involves the submission of applications to clientidentifiedpayers including all supporting documentation and/or applications. This role will be client-facing and will berequiredto reach out to the client as needed for any missing documentation/information and provide regular updates. This temporary position reports to Manager I, Client Services.

*This is a part-time (20 hours per week) temporary position*

Responsibilities

  • Submission of contract requests and/or contracting applications to obtain network participation including commercial and MCO’s.

  • Follow up with payers on status of requests and submission of supporting documentation.   Does not include rate negotiations, contractredlinesor edits.  Does not include enrollments in Medicare (PECOS) or State Fee-For-Service Medicaid. 

  • Continued reach out to the payer until the contracting process is complete, and an effective date is documented.

  • Communicate effectively and consistently document all interactions throughout the payer contracting process.

  • Start and update payer contracting tracking in the OneView system.

  • Maintain positive and professional communication (verbal and written) with both internal and external customers.

  • Provide updates and support to clients on a regular basis to keep them informed of the progress of the contracting process.

Qualifications

  • Minimum 1-2 years’ experience with provider enrollment, credentialing or a demonstrated understanding of the payer contracting life cycle

  • Experience with contracting for both commercial and MCO’s

  • Excellent communication, both verbal and written

  • Positive attitude and professional demeanor in all interactions

  • Excellent analytical, communications, and interpersonal skills

  • Proficiencyin Microsoft Office Suite

  • Familiarity with CAQH, Availity andOnBoardPro

  • Works with sense of urgency

  • Organized and detail-oriented

  • High School Diplomarequiredwith anassociatesorBachelor’s degree in Businessor healthcare preferred

We believe in fair compensation for all of our people, which is why our pay structure takes into account the cost of labor across U.S. geographic markets. For this position, we offer a pay of $25/hour.

In return, we offer:

• Competitive pay

• Flexible work schedules – including work from home options available
• Award-winning training and development programs

Click here to learn more about our company and culture.

CHG Healthcare values a diverse and inclusive workforce. Interested in this role but not a perfect fit? Apply anyway.

We welcome applicants of any race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status and individuals with disabilities as an Affirmative Action/Equal Opportunity Employer. We are an at-will employer.

What makes CHG Different? You.

Originally posted on Himalayas

To apply for this job please visit himalayas.app.

Working in United States

The United States of America (USA), also known as the United States (U.S.) or America, is a country primarily located in North America. It is a federal republic consisting of 50 states and a federal capital district, Washington, D.C. The 48 contiguous states border Canada to the north and Mexico to the south, with the semi-exclave of Alaska in the northwest and the archipelago of Hawaii in the Pacific Ocean. The United States also asserts sovereignty over five major island territories and various uninhabited islands in Oceania and the Caribbean. It is a megadiverse country, with the world's th

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